MEDICARE: TRS BEHAVIORAL CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	562A-AG	TX

General Provider Information

NPI Number	:	1053353409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRS BEHAVIORAL CARE, INC

Provider Business Mailing Address
First Line	:	902 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4604
Country	:	US
Telephone Number	:	713-528-3709
Fax Number	:	713-528-7915

Provider Business Practice Location Address
First Line	:	3709 MONTROSE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4623
Country	:	US
Telephone Number	:	713-528-3709
Fax Number	:	713-528-7915

Authorized Official
Title or Position	:	CEO
Name	:	MR. GEORGE JOSEPH
Credential	:
Telephone Number	:	713-933-1390

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	08/22/2020

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