Organization
TRI-COUNTY BEHAVIORAL HEALTHCARE
Active
Other names
Patricia Street House
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY A STANDLEY (REIMBURSEMENT MANAGER)
(936) 521-6100
Entity
Organization
Contact information
Practice address
104 PATRICIA LN, CONROE, TX 77301-5138
(936) 521-6100
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 521-6100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000390501
—
TX
Enumeration date
07/13/2006
Last updated
04/27/2015
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