NPI:
1548865678
Provider Name:
PRIME WELLNESS CENTER PLLC
Doing Business As: REFLECTIONS LIFESTYLE CENTER
Classification:
Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type:
Organization
Specialization: Substance Abuse Treatment, Children
CLIA Number: 45D2236780
Address:
4901 WINDHAVEN PKWY STE 200
THE COLONY, TX
ZIP 75056
Phone:
(469) 777-4688
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PRIME WELLNESS CENTER PLLC is a substance abuse treatment and children substance abuse rehabilitation facility in The Colony, TX. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PRIME WELLNESS CENTER PLLC NPI is 1548865678. The provider is registered as an organization entity type.
The provider Is Doing Business As Reflections Lifestyle Center.
The provider's business location address is:
4901 WINDHAVEN PKWY STE 200
THE COLONY, TX
ZIP 75056-828
Phone: (469) 777-4688
Fax: (469) 253-6167
The provider's authorized official is Efosa Airuehia .
The authorized official title is Physician/owner and has the following contact phone number (467) 777-4691.
The CLIA number assigned to this NPI record is 45D2236780 - other - php/iop with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/4/2020 and was last updated on 11/18/2021.