Healthcare Provider Details

I. General information

NPI: 1104994870
Provider Name (Legal Business Name): RCMH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 03/21/2020
Certification Date: 03/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SAWDUST RD
SPRING TX
77380-2272
US

IV. Provider business mailing address

200 NEWBERRY CMNS
ETTERS PA
17319-9363
US

V. Phone/Fax

Practice location:
  • Phone: 281-419-3162
  • Fax:
Mailing address:
  • Phone: 717-975-5937
  • Fax: 717-975-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER M ZOREK
Title or Position: SR MANAGER
Credential:
Phone: 717-975-5937