| Organization Name: | DEPARTMENT OF VETERANS AFFAIRS |
| NPI Number: | 1144680083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOMER JEAN WELCH (SOCIAL WORKER) |
| Mailing Address: | 1201 E 9th St Bonham |
| State: | TX US |
| Postal Code: | 754184059 |
| Phone Number: | 9035836239 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2016 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 324500000X |
| License Number: | P009453 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |