St. Monica'S Outreach Center For Addictive Disorders
LBN: St. Monica'S Outreach Center For Addictive Disorders
St. Monica'S Outreach Center For Addictive Disorders is an health care organization with primary practice located at 1703 E 29Th St , Bryan TX 77802-1406. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
St. Monica'S Outreach Center For Addictive Disorders can be contacted via phone (979) 779-4756, or through Cherian, Rany A via phone (979) 779-4756.
Contact Information
Primary practice address
1703 E 29Th St
Bryan TX 77802-1406
Phone: (979) 779-4756
Fax: (979) 823-3018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | 3474-3475 | Texas |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 3474-3475 | Texas |
Profile Details
| NPI number | 1780961920 |
|---|---|
| LBN Legal business name | St. Monica'S Outreach Center For Addictive Disorders |
| DBA Doing business as | |
| Authorized official | Cherian, Rany A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2011 |
| Last updated | Nov 15th, 2011 - about 15 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 | 1780961920 | NPPES |
| Texas | Other | 3474-3475 | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
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