PROFESSIONAL HOME DETOX NPI 1407134448

NPI Information

NPI: 1407134448
Provider Name: PROFESSIONAL HOME DETOX
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
8104 COUNTY ROAD 6500
LUBBOCK, TX
ZIP 79416
Phone: (806) 773-6575
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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.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	671297	TEXAS	Yes

What is NPI?

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: 11/14/2023

NPI Synchronization or Removal

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