Organization
AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID EVANS (EXECUTIVE DIRECTOR)
(512) 440-4031
Entity
Organization
Contact information
Practice address
5225 N LAMAR BLVD, AUSTIN, TX 78751-1820
(512) 483-5000
(512) 483-5828
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
011549
TX
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/13/2007
Last updated
10/27/2008
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