Organization
LAW ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT MOSES JR. (CEO)
(409) 962-2266
Entity
Organization
Contact information
Practice address
1909 JEFFERSON DR, PORT ARTHUR, TX 77642-1845
(409) 962-2266
Mailing address
1909 JEFFERSON DR, PORT ARTHUR, TX 77642-1845
(409) 962-2266
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3015
TX
3245S0500X
Children's Substance Abuse Rehabilitation Facility
3015
TX
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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