Organization
THE WELL TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE LEONARD (OWNER/CEO)
(832) 224-4783
Entity
Organization
Contact information
Practice address
20 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4127
(832) 224-4783
(832) 284-4247
Mailing address
950 GEMINI ST STE 6, HOUSTON, TX 77058-2730
(832) 224-4783
(832) 284-4247
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
12/18/2024
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