MEDICARE: INFINITE BEINGS TREATMENT CENTER LLC

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

General Provider Information

NPI Number	:	1588519508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITE BEINGS TREATMENT CENTER LLC

Provider Business Mailing Address
First Line	:	14641 GLADEBROOK DR STE 10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2807
Country	:	US
Telephone Number	:	806-705-7412
Fax Number	:	806-577-4573

Provider Business Practice Location Address
First Line	:	14641 GLADEBROOK DR STE 10
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2807
Country	:	US
Telephone Number	:	806-705-7412
Fax Number	:	806-577-4573

Authorized Official
Title or Position	:	OWNER
Name	:	HANH SONGHAI VO
Credential	:
Telephone Number	:	346-770-3002

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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