Organization
ACUNA COMMUNITY PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH LEE MARBLE (OWNER)
(806) 470-8767
Entity
Organization
Contact information
Practice address
3404 93RD ST, LUBBOCK, TX 79423-3640
(806) 470-8767
Mailing address
3404 93RD ST, LUBBOCK, TX 79423-3640
(806) 470-8767
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/26/2021
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