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Organization

PKLV

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ODHIAMBO OKUMU (RN)
(469) 657-2992
Entity
Organization

Contact information

Practice address
2619 ARBOR ST, HOUSTON, TX 77004-6137
(469) 657-2992
Mailing address
2619 ARBOR ST, HOUSTON, TX 77004-6137
(469) 657-2992

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary

Other

Enumeration date
07/31/2025
Last updated
07/31/2025
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