Organization
SPECTRUM SOCIAL AND RECREATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNA KEMP M.ED. (PARTNER / BUSINESS MANAGER)
(512) 524-5482
Entity
Organization
Contact information
Practice address
1509 W NORTH LOOP BLVD, AUSTIN, TX 78756-2004
(512) 524-5482
(512) 524-1177
Mailing address
1509 W NORTH LOOP BLVD, AUSTIN, TX 78756-2004
(512) 524-5482
(512) 524-1177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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