Outcomes Detox Center, Llc
LBN: Outcomes Detox Center, Llc
Outcomes Detox Center, Llc is an health care organization with primary practice located at 425 E Los Ebanos Blvd Suites 101 And 108 - 109, Brownsville TX 78520. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Outcomes Detox Center, Llc can be contacted via phone (956) 546-3116, or through Tryka, Chris A. via phone (956) 546-3116.
Contact Information
Primary practice address
425 E Los Ebanos Blvd Suites 101 And 108 - 109
Brownsville TX 78520
Phone: (956) 546-3116
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1629433917 |
|---|---|
| LBN Legal business name | Outcomes Detox Center, Llc |
| DBA Doing business as | |
| Authorized official | Tryka, Chris A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Jun 23rd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629433917 | NPPES |
| Texas | MEDICAID | 381185301 |
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