Organization
MAKANA PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA KAY BAKER MS, LCDC (PRESIDENT)
(972) 835-1963
Entity
Organization
Contact information
Practice address
826 LEXINGTON RD, ELGIN, TX 78621-1279
(512) 278-4550
(512) 278-4552
Mailing address
11503 PARSONS RD, MANOR, TX 78653-5220
(512) 278-4550
(512) 278-4552
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
05/25/2022
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