Organization
FREE MADAUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY D SUTTLES (DIRECTOR)
(713) 702-7869
Entity
Organization
Contact information
Practice address
14602 PRESIDIO SQUARE BLVD, HOUSTON, TX 77083-1654
(713) 702-7869
Mailing address
4212 SAN FELIPE ST # 417, HOUSTON, TX 77027-2902
(713) 702-7869
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/07/2022
Last updated
08/21/2022
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