# MANAGED CARE CENTER, INC.

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

## Provider details

- **NPI number:** 1912049156
- **Authorized official:** MS. SUSAN LEA LILLY LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (806) 780-8300

## Contact information

- **Practice address:** 2345 50TH ST, SUITE 100, LUBBOCK, TX 79412-2565
- **Practice address phone:** (806) 780-8300
- **Practice address fax:** (806) 780-8383
- **Mailing address:** 2345 50TH ST, SUITE 100, LUBBOCK, TX 79412-2565
- **Mailing address phone:** (806) 780-8300
- **Mailing address fax:** (806) 780-8383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 846 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020