Organization
PB TEXAS BEHAVIORAL CARE, LLC
Active
Other names
Promises Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FREEMAN (EDI/CREDENTIALING SPECIALIST)
(615) 567-7256
Entity
Organization
Contact information
Practice address
840 COUNTY ROAD 420, SPICEWOOD, TX 78669-3077
(830) 798-2220
Mailing address
PO BOX 207813, DALLAS, TX 75320-7813
(830) 798-2220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
08/12/2019
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