BRAZOS INTENSIVE OUTPATIENT PROGRAM
Ambulatory Health in Morgan, TX

License number
Texas 3593-3594
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: BEN PATTERSON
Title: CEO
Phone: (254) 232-1550
Address
Address
257 Crk, Morgan, TX 76671
National Provider ID: 1184978108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRAZOS INTENSIVE OUTPATIENT PROGRAM LLC

Morgan, TX

Registration:
Oct 26, 2012
Addresses:
PO Box 92, Morgan, TX 76671 (Mailing)
265 Fm 927, Morgan, TX 76671
State ID:
0801675579
Business type:
Domestic Limited Liability Company (LLC)
Chairman, Directors:
Ben Patterson (Chief Exec, Chief Executive Offi, Director), 265 Fm 927, Morgan, TX 76671,Matt Stenson (Chairman, Director)
TIN:
32049352217

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