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Organization
LEGACY RECOVERY HEALTH CENTER
Active
Organization
LEGACY RECOVERY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITA D WHITE (EXECUTIVE DIRECTOR)
(713) 636-2964
Entity
Organization
Contact information
Practice address
388 W LITTLE YORK RD, HOUSTON, TX 77076-1303
(713) 636-2964
(713) 636-9686
Mailing address
388 W LITTLE YORK RD, HOUSTON, TX 77076-1303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
36483655
TX
251B00000X
Case Management Agency
36483655
TX
251S00000X
Community/Behavioral Health Agency
36483655
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
36483655
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
368483655
TX
261QM1300X
Multi-Specialty Clinic/Center
36483655
TX
261QR0400X
Rehabilitation Clinic/Center
36483655
TX
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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