| NPI | 1093306193 |
|---|---|
| Doing Business As | SAGE RECOVERY VILLA |
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAWN ANSCHUTZ President & Founder 512-306-1394 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |