Organization
GALLUS DETOX SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA CARROLL RN (DIRECTOR OF CLINICAL OPERATIONS)
(928) 533-0872
Entity
Organization
Contact information
Practice address
8230 N LOOP 1604 W STE 215, SAN ANTONIO, TX 78249-2991
(726) 208-3560
(866) 565-8393
Mailing address
225 E 16TH AVE STE 1100, DENVER, CO 80203-1615
(207) 501-2225
(866) 565-8393
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
01/03/2023
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