Organization
AUSTIN TRAVIS COUNTY MHMR CENTER
Active
Other names
Austin Travis County Integral Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E. HARRISON (CHIEF FINANCIAL OFFICER, COO)
(512) 440-4001
Entity
Organization
Contact information
Practice address
4019 MANCHACA RD, AUSTIN, TX 78704-6737
(512) 472-4357
(512) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
166-3358
TX
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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