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BTRL LTD NPI 1396090403


NPI Information

NPI: 1396090403
Provider Name: BTRL, LTD

Doing Business As: BURNING TREE LODGE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2130042

Address:
122 FISHER ST
ELGIN, TX
ZIP 78621
Phone: (972) 962-7374
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BTRL, LTD is a substance abuse rehabilitation facility in Elgin, 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. BTRL, LTD NPI is 1396090403. The provider is registered as an organization entity type.
The provider Is Doing Business As Burning Tree Lodge.

The provider's business location address is:

122 FISHER ST
ELGIN, TX
ZIP 78621-510
Phone: (972) 962-7374

The provider's authorized official is Matthew Luchini .
The authorized official title is Accounts Manager and has the following contact phone number (928) 533-4220.

The CLIA number assigned to this NPI record is 45D2130042 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 7/16/2012.


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 Facility2385-2385ATEXASYes

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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