Healthcare Provider Details

I. General information

NPI: 1285998385
Provider Name (Legal Business Name): ARBOR WEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 SPICEWOOD SPRINGS RD SUITE 4-200
AUSTIN TX
78759
US

IV. Provider business mailing address

1443 COUNTY ROAD 103
GEORGETOWN TX
78626
US

V. Phone/Fax

Practice location:
  • Phone: 512-561-0586
  • Fax: 512-692-2803
Mailing address:
  • Phone: 512-561-0586
  • Fax: 512-692-2803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE S OLIVER
Title or Position: CONTROLLER
Credential:
Phone: 512-561-0586