Organization
SOUTHWEST HEALTHCARE VENTURES
Active
Other names
Cambio Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON PERRY JOHNSON SR. (MANAGER)
(972) 754-6257
Entity
Organization
Contact information
Practice address
1903 DOCTORS HOSPITAL DR STE 1, BRIDGEPORT, TX 76426-2276
(972) 754-6257
Mailing address
5509 RUSTIC TRL, COLLEYVILLE, TX 76034-3218
(972) 754-6257
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/28/2012
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