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11817 Landrum Inc
Substance Use Disorder Rehabilitation Clinic/Center in Beaumont, Texas
NPI 1457822538

11817 Landrum Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Montgomery, TX and is specialized in Rehabilitation, Substance Use Disorder. 11817 Landrum Inc practices in Beaumont, TX. The NPI Number for 11817 Landrum Inc is 1457822538 and holds a License No. (Texas).

The current practice location address for 11817 Landrum Inc is 3560 Delaware St Ste 207, Beaumont, TX and can be reached out via phone at 409-299-8555 and via fax at 888-495-4061. You can also correspond with 11817 Landrum Inc through the mailing address at PO BOX 310, MONTGOMERY, TX - 77356-0310 (mailing address contact number: 281-352-5441).

Location: 3560 Delaware St Ste 207, Beaumont, TX, 77356-0310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457822538
Provider Name
11817 Landrum Inc
Credential
Provider Entity Type
Organization
Address
3560 Delaware St Ste 207, Beaumont, TX, 77356-0310
Phone Number
409-299-8555
Fax Number
888-495-4061
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3560 Delaware St Ste 207
City
Beaumont
State
Texas
Zip
77706-3059
Phone Number
409-299-8555
Fax Number
888-495-4061
person
Provider Business Mailing Address Details
Address
Po Box 310
City
Montgomery
State
Texas
Zip
77356-0310
Phone Number
281-352-5441
Fax Number
888-495-4061
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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