Provider Demographics
NPI:1659072478
Name:STOA BEHAVIORAL HEALTHCARE
Entity type:Organization
Organization Name:STOA BEHAVIORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:STAROBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-592-1036
Mailing Address - Street 1:137 CLIMBING ROCK LOOP
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-2285
Mailing Address - Country:US
Mailing Address - Phone:512-592-1036
Mailing Address - Fax:
Practice Address - Street 1:137 CLIMBING ROCK LOOP
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-2285
Practice Address - Country:US
Practice Address - Phone:512-592-1036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility