Organization Name: | WEST TEXAS COUNSELING AND REHABILITATION PROGRAM OF PLANO |
NPI Number: | 1003947193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUAN GARCIA (SPONSOR AND CEO) |
Mailing Address: | 1108 Dobie Dr Suite 102 Plano |
State: | TX US |
Postal Code: | 750745390 |
Phone Number: | 9724238532 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 0000041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |