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General NPI Number Information
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NPI Number | 1386753101
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Entity Type | Organization
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Legal Business Name | PASSAGES, INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7722 WESTVIEW DR
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City | HOUSTON
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State | TX
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Zip | 77055-5029
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Country | US
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Telephone | 713-957-4910
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Fax | 713-290-8596
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Provider Business Mailing Address
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Address Line | 7722 WESTVIEW DR
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City | HOUSTON
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State | TX
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Zip | 77055-5029
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Country | US
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Telephone | 713-957-4910
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Fax | 713-290-8596
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. ELLEN KIRBY JOE
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Credential | BLS, LCDC, CEAP
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Telephone | 713-957-4910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 291-A
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License Number State | TX
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