| Alta Loma, Inc. | |
|
103 E 8th St Georgetown TX 78626-5801 | |
| (737) 444-1213 | |
| Not Available |
| Full Name | Alta Loma, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 103 E 8th St, Georgetown, Texas |
| Authorized Official Name and Position | Steven R Thomason (CEO) |
| Authorized Official Contact | 7374441239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Loma, Inc. 103 E 8th St Georgetown TX 78626-5801 Ph: () - | Alta Loma, Inc. 103 E 8th St Georgetown TX 78626-5801 Ph: (737) 444-1213 |
| NPI Number | 1114564713 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114564713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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