Organization
KIESHER INSTITUTE OF ADDICTION TREATMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENSON DIKE (PROGRAM DIRECTOR)
(832) 649-2310
Entity
Organization
Contact information
Practice address
9888 BISSONNET ST STE 405, HOUSTON, TX 77036-8299
(832) 649-2310
Mailing address
PO BOX 35726, HOUSTON, TX 77235-5726
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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