Organization
ALAINE DETOX CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINI VETTICADAN (OWNER)
(832) 746-9758
Entity
Organization
Contact information
Practice address
3505 SAGE RD UNIT 2504, HOUSTON, TX 77056-7183
(832) 746-9758
Mailing address
3505 SAGE RD UNIT 2504, HOUSTON, TX 77056-7183
(832) 746-9758
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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