Organization · NPI-2

Passages Abilene

Clinic/Center, Mental Health (Including Community Mental Health Center) · Abilene, TX

NPI number1912677782
StatusActive
Last updated in NPPESDec 23, 2021

Details

NPI
1912677782
Entity type
Organization (NPI-2)
Legal business name
Passages Abilene
Organization subpart
No
Enumeration date
Sep 14, 2021
Certification date
Dec 23, 2021
Last updated
Dec 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
101YP2500X Counselor, Professional––
104100000X Social Worker––
251B00000X Case Management––

Practice location

490 Vinson Rd S
Abilene, TX 79602-4424

Phone 325-733-8888

Mailing address

490 Vinson Rd S
Abilene, TX 79602-4424

Phone 325-733-8888

Authorized official

Donald Dolton
Treasurer
3258641197

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