Organization
SUCCESS TRACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLLA MERLE BRADLEY JR. LPC-S (OWNER)
(210) 859-7854
Entity
Organization
Contact information
Practice address
9352 OSAGE CIR, GARDEN RIDGE, TX 78266-2060
(201) 859-7854
(210) 745-4677
Mailing address
9352 OSAGE CIR, GARDEN RIDGE, TX 78266-2060
(201) 859-7854
(210) 745-4677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14527
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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