Organization
PENIEL HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WAVENEY ROSE LAGRONE (ADMINISTRATOR)
(832) 661-2730
Entity
Organization
Contact information
Practice address
9331 STABLEWOOD LAKES LN, TOMBALL, TX 77375-1279
(832) 661-2730
(281) 547-8220
Mailing address
PO BOX 133372, SPRING, TX 77393-3372
(832) 661-2730
(281) 547-8220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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