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1114564713
ALTA LOMA, INC.
GEORGETOWN, TX
NPI
1114564713
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Entity Type
Organization
Authorized Contact
STEVEN R THOMASON
CEO
737-444-1239
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
ALTA LOMA, INC.
103 E 8TH ST
GEORGETOWN, TX 78626-5801
Phone number: 737-444-1213
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Mailing Address
ALTA LOMA, INC.
103 E 8TH ST
GEORGETOWN, TX 78626-5801
Phone number:
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