Organization
SH DETOX HOUSTON, LLC
Active
Parent organization
SERENITY HOUSE DETOX
Other names
Serenity House Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SERENITY HOUSE DETOX
Authorized official
JESSIE COSTLEY (CREDENTIALING SPECIALIST)
(443) 839-6928
Entity
Organization
Contact information
Practice address
1450 CAMPBELL RD STE 100&200, HOUSTON, TX 77055-4667
(832) 240-3024
Mailing address
10019 REISTERSTOWN RD FL 3, OWINGS MILLS, MD 21117-3902
(443) 839-6928
(443) 269-0667
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
09/15/2021
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