Organization
CHANGE INSTITUTE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA HENDERSON M.S. (EXECUTIVE DIRECTOR)
(713) 988-9673
Entity
Organization
Contact information
Practice address
8888 W BELLFORT ST, HOUSTON, TX 77031-2406
(713) 988-9673
Mailing address
PO BOX 710253, HOUSTON, TX 77271-0253
(713) 988-9673
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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