| San Gabriel Recovery Ranch Llc | |
|
1443 County Road 103 Georgetown TX 78626-3854 | |
| (512) 840-9167 | |
| (512) 430-1394 |
| Full Name | San Gabriel Recovery Ranch Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1443 County Road 103, Georgetown, Texas |
| Authorized Official Name and Position | Valerie A Anderson (BILLING & COLLECTIONS SPECIALIST) |
| Authorized Official Contact | 5128409167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Recovery Ranch Llc 1443 County Road 103 Georgetown TX 78626-3854 Ph: (512) 840-9167 | San Gabriel Recovery Ranch Llc 1443 County Road 103 Georgetown TX 78626-3854 Ph: (512) 840-9167 |
| NPI Number | 1386300770 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 11/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386300770 | NPI | - | NPPES |
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