Organization
BRC OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KAY BAKER MS, LCDC (PRESIDENT)
(972) 835-1963
Entity
Organization
Contact information
Practice address
11502 PARSONS RD, MANOR, TX 78653-5220
(512) 278-4550
(512) 278-4553
Mailing address
11503 PARSONS RD, MANOR, TX 78653-5220
(512) 278-4550
(512) 278-4553
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
06/27/2023
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