Organization · Type 2 NPI
Liberty Lodge, Inc.
Substance Abuse Rehabilitation Facility · Alice, TX
NPI number
1376178053
Active
Practice location
160 FM 2507
Alice, TX 78332-7763
Mailing address
PO Box 3915
Alice, TX 78333-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
About NPI 1376178053
Liberty Lodge, Inc.'s National Provider Identifier is 1376178053, issued on Mar 3, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Alice, TX. The record was last updated on Jan 24, 2023.