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NPI Code Detail

MEDICARE: HOUSTON TREATMENT CENTER, LLC

MEDICARE: HOUSTON 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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151518266OTHERALBLUE CROSS PROVIDER NUMBE

General Provider Information

NPI Number : 1972691293
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON TREATMENT CENTER, LLC
Provider Business Mailing Address
First Line : 9283 W US 84
Second Line :
City : NEWTON
State : AL
Zip : 36352-8207
Country : US
Telephone Number : 334-692-4455
Fax Number : 334-692-4457
Provider Business Practice Location Address
First Line : 9283 W US 84
Second Line :
City : NEWTON
State : AL
Zip : 36352-8207
Country : US
Telephone Number : 334-692-4455
Fax Number : 334-692-4457
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. EARLENE STARLING
Credential :
Telephone Number : 256-831-4601
Provider Enumeration Date : 10/11/2006
Last Update Date : 08/22/2020

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Directions to “HOUSTON TREATMENT CENTER, LLC ” Practice Location

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