Organization
MACK COUNSELING RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MACK (AUTHORIZED OFFICIAL/ OWNER)
(346) 279-8175
Entity
Organization
Contact information
Practice address
7322 SOUTHWEST FWY STE 1055, HOUSTON, TX 77074-2089
(346) 279-8175
Mailing address
7322 SOUTHWEST FWY STE 1055, HOUSTON, TX 77074-2089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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