Organization
SAFER HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER UPTON WALTERS LVN (LICENSED VOCATIONAL NURSE)
(903) 288-5148
Entity
Organization
Contact information
Practice address
115 S MURCHISON ST, ATHENS, TX 75751-2662
(903) 292-5108
Mailing address
115 S MURCHISON ST, ATHENS, TX 75751-2662
(903) 292-5108
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
320590787218
TX
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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