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AVA RECOVERY CENTER LLC NPI 1194469296


NPI Information

NPI: 1194469296
Provider Name: AVA RECOVERY CENTER, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2265172

Address:
815 ELLIOTT RANCH RD
BUDA, TX
ZIP 78610
Phone: (833) 330-3009
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AVA RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Buda, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AVA RECOVERY CENTER, LLC NPI is 1194469296. The provider is registered as an organization entity type.

The provider's business location address is:

815 ELLIOTT RANCH RD
BUDA, TX
ZIP 78610-334
Phone: (833) 330-3009

The provider's authorized official is Leila Anderson .
The authorized official title is Clinical Director and has the following contact phone number (325) 267-0608.

The CLIA number assigned to this NPI record is 45D2265172 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 4/25/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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