Organization
FAMILY CARE CENTER LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN M ELLIS (PROVIDER ENGAGEMENT & CREDENTIALING)
(719) 540-2100
Entity
Organization
Contact information
Practice address
551 S. IH 35, SUITE 200, ROUND ROCK, TX 78664
(719) 540-2100
Mailing address
2860 SOUTH CIRCLE DRIVE, SUITE 109, COLORADO SPRINGS, CO 80906-4195
(719) 540-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
12/05/2022
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