Organization · Type 2 NPI

San Gabriel Recovery Ranch LLC

Substance Abuse Rehabilitation Facility · Georgetown, TX

NPI number 1386300770 Active

Practice location

1443 County Road 103
Georgetown, TX 78626-3854

Fax (512) 430-1394

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Psychologist	103TA0400X	None listed
Psychiatric Hospital Unit	273R00000X	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.

3 other providers at this address

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NPI record

NPI: 1386300770
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Nov 11, 2021
Status: Active
Subpart: Yes of San Gabriel Recovery Ranch LLC

Other names

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The Arbor · doing business as

Authorized official

Valerie A Anderson
Billing & Collections Specialist
(512) 840-9167

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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 1386300770

San Gabriel Recovery Ranch LLC's National Provider Identifier is 1386300770, issued on Nov 10, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Georgetown, TX. The record was last updated on Nov 11, 2021.