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Rachael Shannel Costly
Substance Abuse Rehabilitation Facility in Manvel, Texas
NPI 1356976120

Rachael Shannel Costly is a Substance Abuse Rehabilitation Facility based in Missouri City, TX. Rachael Shannel Costly practices in Manvel, TX. The NPI Number for Rachael Shannel Costly is 1356976120 and holds a License No. (Texas).

The current practice location address for Rachael Shannel Costly is 9500 County Road 190, Manvel, TX and can be reached out via phone at 225-788-7048.

Location: 9500 County Road 190, Manvel, TX, 77489-3412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356976120
Provider Name
Rachael Shannel Costly
Credential
Provider Entity Type
Individual
Gender
Female
Address
9500 County Road 190, Manvel, TX, 77489-3412
Phone Number
225-788-7048
Fax Number
Provider Enumeration Date
03/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-5309384 05 TX
institution
Provider Business Practice Location Address Details
Address
9500 County Road 190
City
Manvel
State
Texas
Zip
77578-5078
Phone Number
225-788-7048
Fax Number
person
Provider Business Mailing Address Details
Address
9500 County Road 190
City
Manvel
State
Texas
Zip
77578-5078
Phone Number
225-788-7048
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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