Organization Name: | SOUTH TEXAS COUNCIL ON ALCOHOL AND DRUG ABUSE |
NPI Number: | 1205137239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROMEO RODRIGUEZ (EXECUTIVE DIRECTOR) |
Mailing Address: | 410 W 2nd St Rio Grande City |
State: | TX US |
Postal Code: | 785823608 |
Phone Number: | 9564880342 |
Fax Number: | 9564875935 |
NPI Enumeration Date: | 11/08/2010 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 787-C |
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: |