Provider Demographics
NPI:1477740561
Name:THERAPEUTIC COMMUNITIES, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC COMMUNITIES, LLC
Other - Org Name:SANMARCOS COMMUNITY LIVING PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-371-1078
Mailing Address - Street 1:PO BOX 705
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78667-0705
Mailing Address - Country:US
Mailing Address - Phone:512-357-4023
Mailing Address - Fax:512-357-4025
Practice Address - Street 1:119 SMITH LN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7927
Practice Address - Country:US
Practice Address - Phone:512-357-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPEUTIC COMMUNITIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-02
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111636320700000X
TX9939320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities