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Organization

RIVERWALK RANCH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN R JANEIRO (PRESIDENT)
(817) 720-9525
Entity
Organization

Contact information

Practice address
6960 DICK PRICE ROAD, MANSFIELD, TX 76063
(817) 720-9520
Mailing address
6960 DICK PRICE ROAD, MANSFIELD, TX 76063
(850) 491-4993

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/22/2018
Last updated
10/11/2018
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