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CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES NPI 1720223274


NPI Information

NPI: 1720223274
Provider Name: CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1700 MONTOPOLIS DR STE D
AUSTIN, TX
ZIP 78741
Phone: (512) 385-4799
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CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Austin, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES NPI is 1720223274. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 MONTOPOLIS DR STE D
AUSTIN, TX
ZIP 78741-138
Phone: (512) 385-4799

The provider's authorized official is Lori D. Wilson .
The authorized official title is Program Directoer and has the following contact phone number (512) 385-4799.

The enumeration date for this NPI number is 12/12/2008 and was last updated on 1/5/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1920-1920 ATEXASNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1065483201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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