Organization
101 FARM TO MARKET LLC
Active
Other names
Vered at San Gabriel
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER COOLEY (COO)
(512) 839-3895
Entity
Organization
Contact information
Practice address
101 FM 971, GEORGETOWN, TX 78626-4546
(816) 547-9248
Mailing address
101 FM 971, GEORGETOWN, TX 78626-4546
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
09/23/2025
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