Organization
ASCENSION PROVIDENCE
Active
Parent organization
ASCENSION PROVIDENCE
Other names
ASCENSION PROVIDENCE DEPAUL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION PROVIDENCE
Authorized official
PHILIP PATTERSON (ADMINISTRATOR)
(254) 751-4766
Entity
Organization
Contact information
Practice address
301 LONDONDERRY DR, WACO, TX 76712-7915
(254) 751-4146
(254) 751-4283
Mailing address
PO BOX 206121, DALLAS, TX 75320-6121
(254) 751-4146
(254) 751-4283
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
12/27/2021
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