Organization
CENIKOR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(281) 476-0088
(281) 476-5581
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
(713) 266-9944
(713) 574-2940
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2020
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