Organization
MERIDELL ACHIEVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/ SR VP)
(310) 768-3300
Entity
Organization
Contact information
Practice address
12550 W HWY 29, LIBERTY HILL, TX 78642
(512) 528-2100
Mailing address
12550 W HWY 29, LIBERTY HILL, TX 78642
(512) 528-2100
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
050218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012569505
—
TX
01
—
786420000
CHAMPUS
TX
Enumeration date
03/02/2006
Last updated
01/05/2015
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