Organization
ALIVIANE, INC.
Active
Other names
Methadone
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE TAPIA (CEO)
(915) 782-4000
Entity
Organization
Contact information
Practice address
1900 WYOMING AVE, EL PASO, TX 79903-3409
(915) 779-3764
(915) 775-0283
Mailing address
PO BOX 371710, EL PASO, TX 79937-1710
(915) 775-4638
(915) 778-3342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
402I
TX
261QM2800X
Methadone Clinic
402A
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
402A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212223601
—
TX
01
—
402A
DSHS LICENSE NUMBER
TX
Enumeration date
02/26/2010
Last updated
12/15/2020
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