Organization
KOLAIAH'S HOUSE
Active
Other names
Kolaiah's House
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK W SHAW CART, LCDC (OWNER)
(832) 335-0633
Entity
Organization
Contact information
Practice address
10303 NORTHWEST FWY STE 350, HOUSTON, TX 77092-8222
(832) 335-0633
Mailing address
401 ORIOLE ST, HOUSTON, TX 77018-6626
(832) 335-0633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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