Organization
BURKE CENTER
Active
Other names
MH Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
TERI SMITH (REVENUE CYCLE ADM)
(936) 633-5651
Entity
Organization
Contact information
Practice address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 633-5672
(936) 633-5695
Mailing address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 633-5650
(936) 633-5695
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
H8939
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136367305
—
TX
Enumeration date
01/12/2007
Last updated
06/14/2024
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