Organization
AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER
Active
Other names
Integral Care
Organization subpart
No
Provider details
NPI number
Authorized official
ZIYAD B. NUWAYHID MD (CHIEF MEDICAL OFFICER)
(512) 447-4141
Entity
Organization
Contact information
Practice address
1165 AIRPORT BLVD, AUSTIN, TX 78702-3152
(512) 472-4357
(512) 703-1394
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 441-4747
(512) 440-4081
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
166-A
TX
324500000X
Substance Abuse Rehabilitation Facility
3022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212084201
—
TX
Enumeration date
06/18/2010
Last updated
10/25/2023
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