Organization · Type 2 NPI

Awakenings Hill Country LLC

Substance Use Disorder Rehabilitation Clinic/Center · Kerrville, TX

NPI number 1003689936 Active

Practice location

204 Jefferson
Kerrville, TX 78028

Call (830) 302-2922 Map

Fax (830) 326-6660

Mailing address

184 Fullbrook Ln
Fredericksburg, TX 78624-8313

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1003689936
Entity type: Organization (Type 2)
Issued: Nov 2, 2023
Last updated: May 8, 2024
Status: Active
Subpart: Yes of Awakenings Hill Country LLC

Other names

<unavail>
The Fullbrook Center · doing business as
The Fullbrook Center · doing business as

Authorized official

Jose A Miranda
Director of Ur
(210) 485-8065

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003689936

Awakenings Hill Country LLC's National Provider Identifier is 1003689936, issued on Nov 2, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kerrville, TX. The record was last updated on May 8, 2024.