Organization
CENIKOR FOUNDATION
Active
Parent organization
CENIKOR FOUNDATION
Other names
Odyssey House Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENIKOR FOUNDATION
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
5629 GRAPEVINE STREET, HOUSTON, TX 77085
(713) 726-0922
(713) 726-0988
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
(713) 266-9944
(713) 574-2940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
2543-A
TX
324500000X
Substance Abuse Rehabilitation Facility
316-3438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108338801
—
TX
01
—
HH5100
BLUECROSSPROVIDERNUMBER
TX
Enumeration date
04/11/2007
Last updated
09/28/2025
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