Organization
MANAGED CARE CENTER FOR ADDICTIVE AND OTHER DISORDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY DON HUEY LCDC (COUNSELOR/ PROGRAM DIRECTOR)
(806) 797-8003
Entity
Organization
Contact information
Practice address
1705 N FM 179, LUBBOCK, TX 79416-9441
(806) 797-8003
Mailing address
1715 26TH ST, LUBBOCK, TX 79411-1524
(806) 780-8300
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
10889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065363601
—
TX
Enumeration date
05/01/2012
Last updated
05/01/2012
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