Organization
BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Active
Other names
Bluebonnet Trails Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GALLIMORE (CREDENTIALING COORDINATOR)
(512) 244-8374
Entity
Organization
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 727-0130
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
(512) 727-0130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/05/2014
Last updated
08/28/2023
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