ALPHA 180 LLC NPI 1639670169

NPI Information

ALPHA 180 LLC is an addiction (substance use disorder) counselor in Austin, TX. ALPHA 180 LLC NPI is 1639670169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1904 NUECES ST
AUSTIN, TX
ZIP 78705-537
Phone: (919) 606-7392

The provider's authorized official is Nicolaas Doorn .
The authorized official title is Director Of Recovery Services and has the following contact phone number (919) 606-7392.

The CLIA number assigned to this NPI record is 45D2156660 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 2/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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