Provider Demographics
NPI:1467656140
Name:RCCC INC.
Entity Type:Organization
Organization Name:RCCC INC.
Other - Org Name:RECOVERY CENTER OF CAMERON COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-548-0028
Mailing Address - Street 1:355 W ELIZABETH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-5597
Mailing Address - Country:US
Mailing Address - Phone:956-548-0028
Mailing Address - Fax:956-544-4343
Practice Address - Street 1:355 W ELIZABETH ST STE 100
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-548-0028
Practice Address - Fax:956-544-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
TX2104-2104B261QR0405X
TX2104-3907261QR0405X
TX2104-2104A261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3501637-01Medicaid
TX3513186-01Medicaid
TX108342002Medicaid