Healthcare Provider Details

I. General information

NPI: 1942218581
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 N. DICKINSON DR.
RUSK TX
75785
US

IV. Provider business mailing address

805 N. DICKINSON DR.
RUSK TX
75785-2333
US

V. Phone/Fax

Practice location:
  • Phone: 903-683-7201
  • Fax: 903-683-7199
Mailing address:
  • Phone: 512-458-7111
  • Fax: 512-458-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateTX

VIII. Authorized Official

Name: MS. LINDA GARNETT
Title or Position: PROGRAM SUPERVISOR
Credential:
Phone: 512-438-5618