| Managed Care Center, Inc. | |
|
2345 50th St Suite 100 Lubbock TX 79412-2565 | |
| (806) 780-8300 | |
| (806) 780-8383 |
| Full Name | Managed Care Center, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2345 50th St, Lubbock, Texas |
| Authorized Official Name and Position | Susan Lea Lilly (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8067808300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Managed Care Center, Inc. 2345 50th St Suite 100 Lubbock TX 79412-2565 Ph: (806) 780-8300 | Managed Care Center, Inc. 2345 50th St Suite 100 Lubbock TX 79412-2565 Ph: (806) 780-8300 |
| NPI Number | 1912049156 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912049156 | NPI | - | NPPES |
| 065363601 | Medicaid | TX | |
| HH6646 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 846 (Texas) | Primary |
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