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Organization
REVIVING PASSAGE LLC
Active
Organization
REVIVING PASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA TO-TRINH TRAN RN (OPERATIONAL MANAGER)
(832) 858-2450
Entity
Organization
Contact information
Practice address
1380 JIMMY PHILLIPS BLVD, ANGLETON, TX 77515-7407
(281) 747-5700
Mailing address
1380 JIMMY PHILLIPS BLVD, ANGLETON, TX 77515-7407
(281) 747-5700
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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