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SAN GABRIEL RECOVERY RANCH LLC NPI 1386300770


NPI Information

NPI: 1386300770
Provider Name: SAN GABRIEL RECOVERY RANCH LLC

Doing Business As: THE ARBOR

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1443 COUNTY ROAD 103
GEORGETOWN, TX
ZIP 78626
Phone: (512) 840-9167
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SAN GABRIEL RECOVERY RANCH LLC is a substance abuse rehabilitation facility in Georgetown, 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. SAN GABRIEL RECOVERY RANCH LLC NPI is 1386300770. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Arbor.

The provider's business location address is:

1443 COUNTY ROAD 103
GEORGETOWN, TX
ZIP 78626-854
Phone: (512) 840-9167
Fax: (512) 430-1394

The provider's authorized official is Valerie A Anderson .
The authorized official title is Billing & Collections Specialist and has the following contact phone number (512) 840-9167.

The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/11/2021.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2273R00000XPsychiatric UnitNo
3324500000XSubstance 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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