Organization
HUNTSVILLE CLINIC, INC.
Active
Parent organization
HUNTSVILLE CLINIC, INC.
Other names
Conroe Treatment & Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUNTSVILLE CLINIC, INC.
Authorized official
MS. STACEY R HARRIS LCDC (CEO)
(936) 441-9172
Entity
Organization
Contact information
Practice address
501 EVERETT ST, CONROE, TX 77301-1826
(936) 441-9172
(936) 441-9177
Mailing address
501 EVERETT ST, CONROE, TX 77301-1826
(936) 441-9172
(936) 441-9177
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
TX-10235-M
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NOT ISSUED YET
NOT YET ISSUED
TX
Enumeration date
08/09/2010
Last updated
10/29/2010
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