Provider Demographics
NPI:1861181059
Name:HOOD COUNTY SUBSTANCE ABUSE COUNCIL
Entity type:Organization
Organization Name:HOOD COUNTY SUBSTANCE ABUSE COUNCIL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC-I
Authorized Official - Phone:210-326-5721
Mailing Address - Street 1:1807 E US HIGHWAY 377
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-5914
Mailing Address - Country:US
Mailing Address - Phone:682-333-1829
Mailing Address - Fax:
Practice Address - Street 1:1807 E US HIGHWAY 377
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-5914
Practice Address - Country:US
Practice Address - Phone:682-333-1829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty