Organization
MESQUITE TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LISA CAVAZOS LCDC (MANAGER/OWNER)
(956) 428-2100
Entity
Organization
Contact information
Practice address
17697 ABD RD, HARLINGEN, TX 78552-1753
(956) 428-2100
Mailing address
PO BOX 603, HARLINGEN, TX 78551-0603
(956) 428-2100
(956) 428-2170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
2502-A
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182590301
—
TX
Enumeration date
09/24/2007
Last updated
08/30/2024
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