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NPI Code Detail

MEDICARE: CEDAR CREEK RECOVERY

MEDICARE: CEDAR CREEK RECOVERY
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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1801283908
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR CREEK RECOVERY
Provider Business Mailing Address
First Line : 7211 ALBERT RD
Second Line :
City : AUSTIN
State : TX
Zip : 78745-6101
Country : US
Telephone Number : 949-467-9213
Fax Number :
Provider Business Practice Location Address
First Line : 7211 ALBERT RD
Second Line :
City : AUSTIN
State : TX
Zip : 78745-6101
Country : US
Telephone Number : 949-467-9213
Fax Number :
Authorized Official
Title or Position : CFO
Name : KEVIN GALLAGHER
Credential :
Telephone Number : 949-467-9213
Provider Enumeration Date : 04/16/2015
Last Update Date : 04/16/2015

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Directions to “CEDAR CREEK RECOVERY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.