Organization
CEN-TEX ALCOHOLIC REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY YOUNG (EXECUTIVE DIRECTOR)
(254) 778-2286
Entity
Organization
Contact information
Practice address
2410 E ADAMS AVE, TEMPLE, TX 76501-4600
(254) 778-2286
Mailing address
2410 E ADAMS AVE, TEMPLE, TX 76501-4600
(254) 778-2286
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
01
—
275
SUD FACILITY LICENSE
TX
Enumeration date
02/28/2020
Last updated
10/18/2022
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