Organization
BRICOLAGE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RAAB (CHIEF FINANCIAL OFFICER)
(469) 968-5700
Entity
Organization
Contact information
Practice address
3204 LONG PRAIRIE RD STE A, FLOWER MOUND, TX 75022-2718
(469) 968-5700
Mailing address
3204 LONG PRAIRIE RD STE A, FLOWER MOUND, TX 75022-2718
(469) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/19/2019
Last updated
10/29/2020
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