Organization
BURKE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN ROGERS (SHELTER DIRECTOR)
(512) 858-4258
Entity
Organization
Contact information
Practice address
20800 FM 150 W, DRIFTWOOD, TX 78619-9202
(512) 858-4258
Mailing address
PO BOX 40, DRIFTWOOD, TX 78619-0040
(512) 858-4258
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282766-01
—
TX
Enumeration date
08/21/2008
Last updated
09/22/2010
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