Organization
THE MENNINGER CLINIC
Active
Parent organization
THE MENNINGER CLINIC
Other names
Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MENNINGER CLINIC
Authorized official
DR. JONATHAN STEVENS MD MPH (CLINICAL DIRECTOR FOR OUTPATIENT SV)
(713) 275-5319
Entity
Organization
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
(713) 275-5120
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
(713) 275-5120
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
100144
TX
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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