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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