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Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Other names
Bluebonnet Trails Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GALLIMORE (CREDENTIALING COORDINATOR)
(512) 244-8374
Entity
Organization
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 727-0130
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 727-0130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
08/28/2023
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