# BRICOLAGE BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053877688
- **Authorized official:** CHARLES RAAB (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (469) 968-5700

## Contact information

- **Practice address:** 3204 LONG PRAIRIE RD STE A, FLOWER MOUND, TX 75022-2718
- **Practice address phone:** (469) 968-5700
- **Mailing address:** 3204 LONG PRAIRIE RD STE A, FLOWER MOUND, TX 75022-2718
- **Mailing address phone:** (469) 968-5700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 10/29/2020
