| Develop Common Ground, LLC | |
|
5708 Penny Creek Dr Austin TX 78759-4815 | |
| (512) 231-1721 | |
| Not Available |
| Full Name | Develop Common Ground, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5708 Penny Creek Dr, Austin, Texas |
| Authorized Official Name and Position | Kari Ramachandran (OWNER) |
| Authorized Official Contact | 5122311721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Develop Common Ground, LLC 5708 Penny Creek Dr Austin TX 78759-4815 Ph: (512) 231-1721 | Develop Common Ground, LLC 5708 Penny Creek Dr Austin TX 78759-4815 Ph: (512) 231-1721 |
| NPI Number | 1003148354 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003148354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 109814 (Texas) | Primary |
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