Organization
MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY KELTNER (CORP BOD)
(615) 319-6552
Entity
Organization
Contact information
Practice address
16850 BUCCANEER LN, HOUSTON, TX 77058-2507
(574) 277-2630
Mailing address
112 W JEFFERSON BLVD STE 600, SOUTH BEND, IN 46601-1921
(574) 277-2530
(574) 277-2635
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
08/13/2024
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