Provider Demographics
NPI:1831429265
Name:TOUCHSTONE RANCH RECOVERY CENTER, LLC
Entity type:Organization
Organization Name:TOUCHSTONE RANCH RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCDC
Authorized Official - Phone:254-918-2009
Mailing Address - Street 1:15759 S US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:HICO
Mailing Address - State:TX
Mailing Address - Zip Code:76457-3741
Mailing Address - Country:US
Mailing Address - Phone:254-918-2009
Mailing Address - Fax:254-918-2004
Practice Address - Street 1:15759 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:HICO
Practice Address - State:TX
Practice Address - Zip Code:76457-3741
Practice Address - Country:US
Practice Address - Phone:254-918-2009
Practice Address - Fax:254-918-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3235-3236324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility