CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES


Address: 1700 Montopolis Dr Ste D, Austin, TX 78741-5138
Phone: 5123854799

CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES (NPI# 1720223274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720223274
Entity Type Organization
Organization Name CHOOSING HOW I LIVE LIFE OUTPATIENT SERVICES
Practice Address 1700 Montopolis Dr Ste D
Austin
TX 78741-5138
Practice Telephone 5123854799
Mailing Telephone 5123854799
Enumeration Date 2008-12-12
Last Update Date 2010-01-05
Authorized Official Name MS. LORI D. WILSON (PROGRAM DIRECTOER)
Authorized Official Telephone 5123854799
Authorized Official Credential LCDC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1920-1920 A TX Behavioral Health & Social Service Providers
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 065483201 05

Office Location

Street Address 1700 MONTOPOLIS DR STE D
City AUSTIN
State TX
Zip Code 78741-5138

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Competitor

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City AUSTIN
Zip Code 78741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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