Individual provider · Type 1 NPI

Donna Dickerhoff

Substance Abuse Rehabilitation Facility · Austin, TX

NPI number 1770828600 Active

Practice location

8402 Cross Park Dr
Austin, TX 78754-4595

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X825 (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 1770828600

Donna Dickerhoff's National Provider Identifier is 1770828600, issued on Dec 4, 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 4, 2012.