Providian Total Health LLC
Providian Total Health LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baytown, Texas. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
618 Travis StBaytown, TX 77520-7568
Phone: (832) 512-3234
Fax: (832) 615-0813
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1740599240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Ihekoronye — Manager · (832) 512-3234 |
| NPI enumerated | September 30, 2010 |
| Last updated in NPPES | September 30, 2010 |
| Mailing address | 718 Mistycreek Dr, Richmond, TX 77406-1263 |
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