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NPI Code Detail

MEDICARE: BILLY T. CATTAN RECOVERY OUTREACH, INC.

MEDICARE: BILLY T. CATTAN RECOVERY OUTREACH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1801205810
Entity Type Code : Organization
Provider Name (Legal Business Name) : BILLY T. CATTAN RECOVERY OUTREACH, INC.
Provider Business Mailing Address
First Line : 802 E CRESTWOOD DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-3309
Country : US
Telephone Number : 361-576-4673
Fax Number : 361-576-6557
Provider Business Practice Location Address
First Line : 802 E CRESTWOOD DR
Second Line :
City : VICTORIA
State : TX
Zip : 77901-3309
Country : US
Telephone Number : 361-576-4673
Fax Number : 361-576-6557
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DANIEL L BARRIENTOS
Credential :
Telephone Number : 361-576-4673
Provider Enumeration Date : 08/05/2014
Last Update Date : 06/19/2023

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