NPI 1053650234
Brazos Intensive Outpatient Program, LLC
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
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.