Organization
LA CASA AZUL DE PAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISOL ECHEVARRIA-SOLA (EXECUTIVE DIRECTOR)
(512) 339-0767
Entity
Organization
Contact information
Practice address
10614 MACMORA RD, AUSTIN, TX 78758-4616
(512) 339-0767
Mailing address
10614 MAC MORA ROAD, P.O. BOX 80063, AUSTIN, TX 78758
(512) 339-0767
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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