Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL B HALL SR LADC (ADDICTION'S THERAPIST)
(806) 355-7539
Entity
Organization
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-7539
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-7539
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
75
OK
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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