Organization
HOUSTON TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EARLENE STARLING (BUSINESS MANAGER)
(256) 831-4601
Entity
Organization
Contact information
Practice address
9283 W US 84, NEWTON, AL 36352-8207
(334) 692-4455
(334) 692-4457
Mailing address
9283 W US 84, NEWTON, AL 36352-8207
(334) 692-4455
(334) 692-4457
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51518266
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
10/11/2006
Last updated
08/22/2020
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