Organization
ADDED INCENTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUAN HANKS LCDC/ADC (DIRECTOR)
(832) 215-3344
Entity
Organization
Contact information
Practice address
7146 HIGHWAY 60, WALLIS, TX 77485-9507
(832) 215-3344
Mailing address
7146 HIGHWAY 60, WALLIS, TX 77485-9507
(832) 215-3344
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
3553
TX
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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