Organization
ELDORADO TEXAS COMMUNITY SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN BLANKS (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
5510 N CAGE BLVD STE P, PHARR, TX 78577-1813
(956) 787-3544
(956) 787-3548
Mailing address
954 E MADISON ST, BROWNSVILLE, TX 78520-5950
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000016
STATE NTP LICENSE
TX
Enumeration date
01/28/2016
Last updated
10/31/2025
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