Organization · Type 2 NPI

Est 400 of Waco LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Waco, TX

NPI number 1033554837 Active

Practice location

4555 Lake Shore Dr
Waco, TX 76710-1814

Call (254) 776-0400 Map

Fax (254) 776-0637

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

12 other providers at this address

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About NPI 1033554837

Est 400 of Waco LLC's National Provider Identifier is 1033554837, issued on May 7, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Waco, TX. The record was last updated on May 7, 2013.