Organization
LOTUS HOUSE CLINICAL SERVICES, LLC
Active
Other names
Brookswood Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD GENE MATHEWS (DIRECTOR OF OPERATIONS)
(830) 459-6321
Entity
Organization
Contact information
Practice address
714 CLAY ST, KERRVILLE, TX 78028-3321
(830) 792-4673
(830) 792-5673
Mailing address
714 CLAY ST, KERRVILLE, TX 78028-3321
(830) 792-4673
(830) 792-5673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3750-3751
TX
Other
Enumeration date
07/09/2014
Last updated
12/02/2015
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