Organization
OUTCOMES DETOX CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS A. TRYKA (AR DIRECTOR)
(956) 546-3116
Entity
Organization
Contact information
Practice address
425 E LOS EBANOS BLVD, SUITES 101 AND 108 - 109, BROWNSVILLE, TX 78520
(956) 546-3116
Mailing address
425 E LOS EBANOS BLVD, SUITES 108 - 109, BROWNSVILLE, TX 78520-8481
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381185301
—
TX
Enumeration date
12/31/2015
Last updated
06/23/2020
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