NPI 1043897861
Comprehensive Opioid Rehabilitation Program, LLC
Practice location
- Address
- 3006 Bee Caves Rd STE D-207, Austin, TX 78746-5588
- Phone
- (512) 329-0435
- Fax
- (512) 329-0435
- Mailing address
- PO Box 162047, Austin, TX 78716-2047
Authorised official
- Name
- Matthew Edward Masters
- Title
- Ceo
- Phone
- (512) 329-0435
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1043897861
- Entity type
- Organization
- NPI issued
- 26 Mar 2021
- Record last updated
- 28 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.