WILLOW SPRINGS RECOVERY NPI 1578911624

NPI Information

WILLOW SPRINGS RECOVERY is a substance abuse rehabilitation facility in Bastrop, TX. The provider is 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. WILLOW SPRINGS RECOVERY NPI is 1578911624. The provider is registered as an organization entity type.

The provider's business location address is:

1128 HIGHWAY 21 E
BASTROP, TX
ZIP 78602-884
Phone: (949) 835-4359
Fax: (949) 429-1845

The provider's authorized official is Jared Raymond .
The authorized official title is Coo and has the following contact phone number (949) 835-4359.

The CLIA number assigned to this NPI record is 45D2129187 - other - residential detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 3/1/2017.

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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