Provider Demographics
NPI:1265836803
Name:WEST TEXAS CSCD
Entity Type:Organization
Organization Name:WEST TEXAS CSCD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES-AINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS
Authorized Official - Phone:915-546-8120
Mailing Address - Street 1:800 E OVERLAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-2510
Mailing Address - Country:US
Mailing Address - Phone:915-546-8120
Mailing Address - Fax:
Practice Address - Street 1:800 E OVERLAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-2510
Practice Address - Country:US
Practice Address - Phone:915-546-8120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder