Organization
SANTA MARIA HOSTEL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M PAGE (CHIEF FINANCIAL OFFICER)
(713) 301-2618
Entity
Organization
Contact information
Practice address
2605 PARKER ROAD, HOUSTON, TX 77093
(713) 301-2618
(713) 691-0910
Mailing address
2605 PARKER ROAD, HOUSTON, TX 77093
(713) 301-2618
(713) 691-0910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211815001
—
TX
Enumeration date
06/22/2023
Last updated
12/05/2023
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