Organization
BROOKSTONE SERENITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIN MISIKO WAWIRE RN (CEO / CHIEF EXECUTIVE MANAGER)
(832) 289-9878
Entity
Organization
Contact information
Practice address
3103 CREEK ARBOR CIR, HOUSTON, TX 77084-7174
(832) 289-9878
Mailing address
3103 CREEK ARBOR CIR, HOUSTON, TX 77084-7174
(832) 289-9878
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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