Organization
AUSTIN PINES RANCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN JANEIRO (PRESIDENT)
(850) 491-4993
Entity
Organization
Contact information
Practice address
119 BUCKS RD, PAIGE, TX 78659-4904
(512) 599-9701
Mailing address
1300 HADDINGTON LN, KELLER, TX 76248-8423
(850) 491-4993
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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