Organization
TEXAN RESORT RECOVERY LLC
Active
Parent organization
ARBROVITAE ENTERPRISES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARBROVITAE ENTERPRISES LLC
Authorized official
ARLEN BARKSDALE (OWNER)
(760) 533-8714
Entity
Organization
Contact information
Practice address
860 CO RD 142, LAKE CITY, CO 81235
(970) 944-2246
(970) 944-2477
Mailing address
PO BOX 156, 860 CO RD 142, LAKE CITY, CO 81235-0156
(970) 944-2246
(970) 944-2477
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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