Organization
BLUEBONNET TRAILS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE OEHLERS (REIMBERUSEMENT DIRECTOR)
(830) 875-5700
Entity
Organization
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Mailing address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3646-3649
TX
Other
Enumeration date
09/26/2013
Last updated
08/28/2023
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