Organization
AUSTIN TRAVIS COUNTY MHMR CENTER
Active
Other names
Austin Travis County Integral Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E. HARRISON (CHIEF FINANCIAL OFFIER, COO)
(512) 440-4001
Entity
Organization
Contact information
Practice address
825 EAST RUNDBERG LANE, UNIT F, AUSTIN, TX 78753
(512) 804-3900
(512) 804-3901
Mailing address
PO BOX 3548, AUSTIN, TX 78764-3548
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
166 - 3396
TX
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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