Organization
EXCEPTIONAL WELLNESS REHABILITATION CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNIKA BLATE (ADMINISTRATOR)
(281) 845-1304
Entity
Organization
Contact information
Practice address
2440 TEXAS PKWY STE 335, MISSOURI CITY, TX 77489-4098
(281) 845-1304
Mailing address
2440 TEXAS PKWY STE 335, MISSOURI CITY, TX 77489-4098
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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