Organization
STAR COUNCIL ON SUBSTANCE ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY BOITNOTT (EXECUTIVE DIRECTOR)
(254) 965-5515
Entity
Organization
Contact information
Practice address
239 S VIRGINIA ST, STEPHENVILLE, TX 76401-4344
(254) 965-5515
(254) 965-7416
Mailing address
239 S VIRGINIA ST, STEPHENVILLE, TX 76401-4344
(254) 965-5515
(254) 965-7416
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
859-A
TX
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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