Organization Name: | TEXAS FOUNDATION FOR SEXUAL SOBRIETY |
NPI Number: | 1649656695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WADE A PATTON (EXECUTIVE DIRECTOR) |
Mailing Address: | 901 County Road 281 Leander |
State: | TX US |
Postal Code: | 786418461 |
Phone Number: | 5127785293 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
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: |