Individual provider · Type 1 NPI
Karen Moreno, LCDC
Substance Abuse Rehabilitation Facility · Austin, TX
NPI number
1154666147
Active
Practice location
8402 Cross Park Dr
Austin, TX 78754-4595
Mailing address
4701 Staggerbrush Rd Apt 214
Austin, TX 78749-1039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 8050 (TX) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1154666147
Karen Moreno, LCDC's National Provider Identifier is 1154666147, issued on Dec 3, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Austin, TX. The record was last updated on Dec 3, 2012.