Organization
APPROVED QUALITY CARE TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ADAM CHAVEZ (CEO/OWNER)
(512) 627-7880
Entity
Organization
Contact information
Practice address
632 CANYON RIM DR, AUSTIN, TX 78746-5061
(512) 627-7880
(512) 280-4787
Mailing address
PO BOX 163631, AUSTIN, TX 78716-3631
(512) 280-1136
(512) 280-4787
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
001007872
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007872
VENDOR NUMBER
TX
01
—
001007873
VENDOR NUMBER
TX
Enumeration date
02/06/2007
Last updated
06/10/2016
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