# CEDAR CREST HOSPITAL

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

## Provider details

- **NPI number:** 1194112672
- **Authorized official:** MRS. JACQUELINE MARIE BROCK LPC, LCDC, ATR (CLINICAL THERAPIST)
- **Authorized official phone:** (254) 833-0781

## Contact information

- **Practice address:** 3500 S IH 35, BELTON, TX 76513-9426
- **Practice address phone:** (254) 939-4074
- **Mailing address:** 3500 S IH 35, BELTON, TX 76513-9426
- **Mailing address phone:** (254) 939-4074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 101Y00000X | TX | Yes |

## Other

- **Enumeration date:** 04/22/2015
- **Last updated:** 04/22/2015
