Organization
MEMORIAL HERMANN HEALTH SYSTEM
Active
Other names
MHHS Prevention & Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LARAWAY (CFO)
(713) 242-2707
Entity
Organization
Contact information
Practice address
1550 LA CONCHA LN, HOUSTON, TX 77054-1804
(713) 578-3100
(713) 338-4158
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127
(713) 338-4158
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH3065
BLUE CROSS IDENTIFIER
TX
Enumeration date
07/05/2006
Last updated
06/26/2014
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