PROFESSIONAL HOME DETOX is a rehabilitation and substance use disorder clinic center in Lubbock, TX. PROFESSIONAL HOME DETOX NPI is 1407134448. The provider is registered as an organization entity type.
The provider's business location address is:
8104 COUNTY ROAD 6500 LUBBOCK, TX ZIP 79416-557 Phone: (806) 773-6575
The provider's authorized official is Courtney Carole Fuller . The authorized official title is Program Director and has the following contact phone number (806) 773-6575.
The enumeration date for this NPI number is 7/25/2011 and was last updated on 7/25/2011.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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