Organization
CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS
Active
Other names
Center Counties Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KAY CHURCHILL (REIMBURSEMENT OFFICER IV)
(254) 298-7019
Entity
Organization
Contact information
Practice address
304 S 22ND ST, TEMPLE, TX 76501-4726
(254) 298-7019
Mailing address
304 S 22ND ST, TEMPLE, TX 76501-4726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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