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Contact Information

SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED
15360 FM 850
TYLER, TX75707-3916
 Phone: 936-645-9939
 Fax: 903-253-0466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED

NPI # 1235792599
LBN Legal business name SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED
Authorized official HOBERT MILLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2019
Last updated 07/03/2019 - About 7 years ago
Identifiers
TX Other 17799986 PRIVATE INSURANCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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