Organization
BRAZOS INTENSIVE OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY PATTERSON (OWNER/CEO)
(254) 232-1550
Entity
Organization
Contact information
Practice address
257 FM 927 CR, MORGAN, TX 76671
(254) 232-1550
(254) 775-4040
Mailing address
257 FM 927 CR, MORGAN, TX 76671
(254) 232-1550
(254) 775-4040
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3593-3594
TX
Other
Enumeration date
10/29/2012
Last updated
10/17/2024
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