Organization
LIFESTREAM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSALYN A RUFFIN MA.LMFT.LSOT (CEO)
(713) 480-3534
Entity
Organization
Contact information
Practice address
1270 COUNTY ROAD 2293, CLEVELAND, TX 77327-0299
(713) 480-3534
Mailing address
515A S FRY RD # 306, KATY, TX 77450-2214
(713) 480-3534
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
TX
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028325101
—
TX
Enumeration date
04/13/2009
Last updated
03/18/2010
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