Organization
BLUEBONNET HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BLANKENBURG (OWNER/EXECUTIVE DIRECTOR)
(979) 421-0736
Entity
Organization
Contact information
Practice address
4150 HIGHWAY 36 S, BRENHAM, TX 77833-8164
(979) 347-6662
Mailing address
4150 HIGHWAY 36 S, BRENHAM, TX 77833-8164
(979) 347-6662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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