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1316370562
CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
AUSTIN, TX
NPI
1316370562
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Entity Type
Organization
Authorized Contact
JOSEPH SLADE BOSARGE
CEO
512-680-3013
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 34161)
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
2504 RAE DELL AVE
AUSTIN, TX 78704-4735
Phone number: 512-284-3712
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Mailing Address
CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
2504 RAE DELL AVE
AUSTIN, TX 78704-4735
Phone number: 512-284-3712
Copy
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