|Taxonomy Code||Specialty Code||Provider Type|
|LBN Legal business name||DEPARTMENT OF HEALTH AND HOSPITALS|
|DBA Doing business as||BASTROP BEHAVIORAL HEALTH CLINIC|
|Authorized official||CAROLYN JONES - (FACILITY MANAGER)|
|Organization subpart 1||No|
|Last updated||07/24/2013 - About 3 years ago|
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506 HWY 2
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2913 DESAIRD RD
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