Healthcare Provider Details

I. General information

NPI: 1659201317
Provider Name (Legal Business Name): PASADENA SUBSTANCE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 STRAWBERRY RD
PASADENA TX
77502-5106
US

IV. Provider business mailing address

2710 STRAWBERRY RD
PASADENA TX
77502-5106
US

V. Phone/Fax

Practice location:
  • Phone: 713-473-1405
  • Fax: 713-473-3779
Mailing address:
  • Phone: 713-473-1405
  • Fax: 713-473-3779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: NIGHAT SHAHEEN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 713-473-1405