Organization
MAISON DE SPIRITUS, INC.
Active
Other names
Maison De Spiritus, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROOSEVELT ALCORN MD (MEDICAL DIRECTOR)
(832) 991-5040
Entity
Organization
Contact information
Practice address
4122 MAINER ST, HOUSTON, TX 77021-5803
(832) 991-5040
Mailing address
2450 LOUISANA ST STE 400-723, HOUSTON, TX 77021
(832) 991-5040
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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