# STADIUM EMERGENCY SHELTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427390624
- **Authorized official:** LEE PRESTON (FOUNDER)
- **Authorized official phone:** (281) 354-5930

## Contact information

- **Practice address:** 21882 E WALLIS DR, PORTER, TX 77365-5366
- **Practice address phone:** (281) 354-5930
- **Practice address fax:** (281) 354-5935
- **Mailing address:** 21882 E WALLIS DR, PORTER, TX 77365-5366
- **Mailing address phone:** (281) 354-5930
- **Mailing address fax:** (281) 354-5935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1442966 | TX | Yes |

## Other

- **Enumeration date:** 03/26/2013
- **Last updated:** 03/26/2013
