Organization
TRAUMA RECOVERY INSTITUTE PA
Active
Organization
TRAUMA RECOVERY INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDYCE WALKER RN (COO, DIRECTOR OF NURSING)
(512) 669-2272
Entity
Organization
Contact information
Practice address
700 MARKET ST STE 105, CEDAR PARK, TX 78613-2684
(737) 228-0538
(737) 210-7093
Mailing address
700 MARKET ST STE 105, CEDAR PARK, TX 78613-2684
(737) 228-0538
(727) 210-7093
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/14/2020
Last updated
01/11/2023
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