Organization
ST. GILES - BAYTOWN, INC.
Active
Organization
ST. GILES - BAYTOWN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN PENKALA (DIRECTOR OF CREDENTIALING)
(817) 289-8450
Entity
Organization
Contact information
Practice address
3010 S 1ST ST, LUFKIN, TX 75901-7110
(936) 639-1600
(936) 639-1632
Mailing address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(817) 289-8450
(817) 447-3033
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001014227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012306
—
TX
05
—
001012307
—
TX
05
—
001012309
—
TX
05
—
001012310
—
TX
05
—
001012805
—
TX
05
—
001012806
—
TX
05
—
001013797
—
TX
05
—
001013809
—
TX
05
—
001014227
—
TX
05
—
001014229
—
TX
05
—
001014230
—
TX
Enumeration date
11/29/2006
Last updated
06/02/2026
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