Healthcare Provider Details

I. General information

NPI: 1417470485
Provider Name (Legal Business Name): VALHALLA TREATMENT AND RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19870 CYPRESS CHURCH RD
CYPRESS TX
77433-1478
US

IV. Provider business mailing address

19870 CYPRESS CHURCH RD
CYPRESS TX
77433-1478
US

V. Phone/Fax

Practice location:
  • Phone: 832-722-8570
  • Fax:
Mailing address:
  • Phone: 832-722-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN L HOUSEWORTH
Title or Position: OPERATIONS & COMPLIANCE CONSULTANT
Credential: LMFT, LBSW
Phone: 832-248-4636