Organization
SIERRA OP TX, LLC
Active
Organization
SIERRA OP TX, LLC
Active
Other names
Sierra at Southlake
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PHILLIP FARLEY (VICE PRESIDENT AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
640 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6023
(520) 624-4000
Mailing address
6100 TOWER CIR STE 1000, FRANKLIN, TN 37067-1509
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/10/2021
Last updated
10/18/2023
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