Organization
11817 LANDRUM INC
Active
Parent organization
11817 LANDRUM INC
Other names
Connected Path Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
11817 LANDRUM INC
Authorized official
REGINA MICHELLE TATE LPC (CEO)
(409) 853-2273
Entity
Organization
Contact information
Practice address
1505 CORNERSTONE CT, BEAUMONT, TX 77706-3899
(409) 299-8555
Mailing address
1505 CORNERSTONE CT, BEAUMONT, TX 77706-3899
(409) 299-8555
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
06/14/2024
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