Noah'S Glen Residential Treatment Center in Houston - Substance Abuse Treatment, Children
Noah'S Glen Residential Treatment Center - NPI 1679638639
Noah'S Glen Residential Treatment Center is a Substance Abuse Treatment, Children in Houston, Texas. Noah'S Glen Residential Treatment Center practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for Noah'S Glen Residential Treatment Center is 1679638639. The last update date is 2020-08-22.
Noah'S Glen Residential Treatment Center's current location address is 2121 Mansfield St, Houston, Texas. You can contact this provider via phone number 7136839144 and fax number 7136839143. The mailing address for Noah'S Glen Residential Treatment Center is 2121 Mansfield St, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Noah'S Glen Residential Treatment Center |
|---|---|
| Address | 2121 Mansfield St, Houston, Texas |
| Phone Number | 7136839144 |
| Fax Number | 7136839143 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Farenthold T Dudley |
| Credentials | LCSW |
| Telephone Number | 7136839144 |
NPI Number Detail
| NPI Number | 1679638639 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2121 Mansfield St |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770914033 |
| Phone Number | 7136839144 |
| Fax Number | 7136839143 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
| Licence No | 2362A |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2362A | TX | DSHS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Noah'S Glen Residential Treatment Center?
The Noah'S Glen Residential Treatment Center has been issued the NPI (National Provider Identifier) 1679638639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Noah'S Glen Residential Treatment Center's facilities are situated?
The facilities of Noah'S Glen Residential Treatment Center are physically located at the following address: 2121 Mansfield St, Houston, TX, 770914033.
What is Noah'S Glen Residential Treatment Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Noah'S Glen Residential Treatment Center is Substance Abuse Treatment, Children, and the taxonomy code that categorizes this field of expertise is 3245S0500X.
When did Noah'S Glen Residential Treatment Center receive its 1679638639 assignment?
The Noah'S Glen Residential Treatment Center was assigned its 1679638639 on 2006-12-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Noah'S Glen Residential Treatment Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Noah'S Glen Residential Treatment Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1942207287
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