Organization
SOUTH TEXAS COUNCIL ON ALCOHOL AND DRUG ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEO RODRIGUEZ JR. (EXECUTIVE DIRECTOR)
(956) 722-1135
Entity
Organization
Contact information
Practice address
4101 JUAREZ AVE, LAREDO, TX 78041-4209
(956) 791-6131
(956) 722-0518
Mailing address
4101 JUAREZ AVE, LAREDO, TX 78041-4209
(956) 791-6131
(956) 722-0518
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
01/17/2013
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