Organization
ALIVE AUSTIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK COHN (DIRECTOR/CEO)
(512) 300-9761
Entity
Organization
Contact information
Practice address
6448 E HIGHWAY 290, E-114, AUSTIN, TX 78723-1068
(512) 561-0609
Mailing address
6448 E HIGHWAY 290, E-114, AUSTIN, TX 78723-1068
(512) 561-0609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
18291
TX
Other
Enumeration date
08/16/2014
Last updated
12/17/2014
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