Sage Substance Abuse Guidance And Education
Clinic/Center, Mental Health (Including Community Mental Health Center) in Lakeside, TX. Organization (NPI-2).
NPI number1881982155
StatusActive
Last updated in NPPESJul 20, 2011
Details
- NPI
- 1881982155
- Entity type
- Organization (NPI-2)
- Legal business name
- Sage Substance Abuse Guidance And Education
- Organization subpart
- No
- Enumeration date
- Jul 20, 2011
- Last updated
- Jul 20, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 3099 | TX | Yes |
Practice location
8401 Jacksboro HwyLakeside, TX 76135-4351
Phone 817-238-9911 · Fax 817-237-5711
Mailing address
8401 Jacksboro HwyLakeside, TX 76135-4351
Phone 817-238-9911 · Fax 817-237-5711
Authorized official
Dana L Hollingsworth
Executive Director
8172389911
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