Ethos Prairie, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
ETHOS PRAIRIE, LLC	1598306862	2024-05-12

The organization Ethos Prairie, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1598306862. Registration indicates Ethos Prairie, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Rehabilitation, Substance Use Disorder, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinic/Center Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities) (Clinic/Center, ) Access to Mental Health/Behavioral Health/Substance Use Disorder Facility (Residential Treatment Facilities, Substance Abuse Rehabilitation Facility) Access to Hospital by Licensure Type-Mental Health & Substance Abuse (Residential Treatment Facilities, Substance Abuse Rehabilitation Facility) (Residential Treatment Facilities, Substance Abuse Rehabilitation Facility) (Substance Abuse Rehabilitation Facility, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Substance Abuse Rehabilitation Facility, Residential Treatment Facilities)

Other Names:

• The Prairie Recovery Center

Entity Type	Organization
Provider Organization	ETHOS PRAIRIE, LLC
Other Provider Organization	THE PRAIRIE RECOVERY CENTER
Practice Office Address	5808 WAGNER RD ROUND TOP, TX US
Practice Office Telephone	9798364975
Mailing Address	5808 WAGNER RD ROUND TOP, TX 789545075 US
Business Telephone	9798364975
Authorized Official	JILLIAN SNOW, ADMINISTRATOR 8324364260

Contact Endpoints

Direct Messaging Address []

[email protected]

Direct

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