Organization
BTRL, LTD
Active
Other names
Burning Tree Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNTS MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
122 FISHER ST, ELGIN, TX 78621-3510
(972) 962-7374
Mailing address
PO BOX 757, KAUFMAN, TX 75142-0757
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2385-2385A
TX
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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