IndividualActive
Donna Dickerhoff
NPI 1770828600 · Substance Abuse Rehabilitation Facility · Austin, TX
Provider details
- NPI number
- 1770828600
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 825 (TX)
Mailing address
8402 Cross Park Dr
Austin, TX 78754-4595
Registry dates
- Enumerated
- 2012-12-04
- Last updated
- 2012-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.