Organization
ROBICHEAUX HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RYAN ROBICHEAUX (OWNER)
(214) 640-0080
Entity
Organization
Contact information
Practice address
2605 PRINCETON DR, LANCASTER, TX 75134-2445
(214) 640-0080
Mailing address
2605 PRINCETON DR, LANCASTER, TX 75134-2445
(214) 640-0080
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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