Provider Demographics
NPI:1750420253
Name:FIVE OAKS ACHIEVEMENT CENTER
Entity type:Organization
Organization Name:FIVE OAKS ACHIEVEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-992-3791
Mailing Address - Street 1:7674 PECHACEK RD
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:TX
Mailing Address - Zip Code:78950-2160
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7674 PECHACEK RD
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:TX
Practice Address - Zip Code:78950-2160
Practice Address - Country:US
Practice Address - Phone:979-992-3791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility