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Organization

PERSONAL RESPONSIBILITY RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC MEYERS (CEO)
(512) 589-2661
Entity
Organization

Contact information

Practice address
738 COUNTY ROAD 304, BERTRAM, TX 78605-3936
(737) 356-3731
Mailing address
362 OLD WILDCATTERS RD, LIBERTY HILL, TX 78642-4649
(737) 356-3731

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4808
SUBSTANCE USE DISORDER TREATMENT
TX
Enumeration date
07/15/2022
Last updated
07/15/2022
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