Organization
FIRST CITY RECOVERY HOUSTON, LLC
Active
Other names
Magnolia City Detox
Organization subpart
No
Provider details
NPI number
Authorized official
REESA MOSLEY (CFO)
(517) 993-4416
Entity
Organization
Contact information
Practice address
1006 WINDSOR LAKES BLVD STE 200, CONROE, TX 77384-4975
(517) 993-4416
Mailing address
317 W JEFFERSON ST, KOKOMO, IN 46901-4437
(517) 993-4416
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396498044
NPI
—
Enumeration date
02/02/2022
Last updated
11/20/2025
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