BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC – NPI #1053650234
Substance Abuse Rehabilitation Facility
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.
BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC is a substance abuse rehabilitation facility located in MORGAN, TX. NPPES has assigned the NPI number 1053650234 to BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC on February 07, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was previously updated about 13 years ago on Mar 18, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC below.
NPI Profile for
BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC
(more than 13 years ago)
MORGAN, TX 76671-1111 Phone: (254) 775-4088 Fax: (267) 795-9510
STE 500
AUSTIN, TX 78746-6300 Phone: (512) 308-6032 Fax: (512) 306-9188
CEO
Phone: (254) 775-4088
Identifiers for BRAZOS INTENSIVE OUTPATIENT PROGRAM, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | FACILITY LICENSE NUMBER | TX | 3593-3594 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
TX | 3593-3594 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.