Organization
ALIVIANE, INC.
Active
Other names
Men's Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVONNE TAPIA (CEO)
(915) 782-4000
Entity
Organization
Contact information
Practice address
10690 SOCORRO RD, EL PASO, TX 79927-2332
(915) 858-6208
(915) 858-0435
Mailing address
PO BOX 371710, EL PASO, TX 79937-1710
(915) 775-4638
(915) 778-3342
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
402B
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216276001
—
TX
01
—
402B
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
06/16/2010
Last updated
12/04/2015
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