Whalio Doctors

NPI 1053650234

Brazos Intensive Outpatient Program, LLC

Organisation Substance Abuse Rehabilitation Facility Morgan, TX

Practice location

Address
257 Fm 927 Cr, Morgan, TX 76671-1111
Phone
(254) 775-4088
Fax
(267) 795-9510
Mailing address
1114 Lost Creek Blvd STE 500, Austin, TX 78746-6300

Authorised official

Name
Ben Patterson
Title
Ceo
Phone
(254) 775-4088

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 3593-3594 (TX)

Registry record

NPI
1053650234
Entity type
Organization
NPI issued
7 Feb 2013
Record last updated
18 Mar 2013

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.