Organization
THE PATH TO SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENON WILBORN (CEO)
(832) 273-4724
Entity
Organization
Contact information
Practice address
4802 CAROLINE ST, HOUSTON, TX 77004-5608
(713) 533-0613
Mailing address
4802 CAROLINE ST, HOUSTON, TX 77004-5608
(713) 533-0613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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