Provider Demographics
NPI:1053622324
Name:HOUSTON TREATMENT CENTER
Entity type:Organization
Organization Name:HOUSTON TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-947-1773
Mailing Address - Street 1:1050 EDGEBROOK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-1800
Mailing Address - Country:US
Mailing Address - Phone:713-947-1773
Mailing Address - Fax:713-947-0610
Practice Address - Street 1:1050 EDGEBROOK DR STE 3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-1800
Practice Address - Country:US
Practice Address - Phone:713-947-1773
Practice Address - Fax:713-947-0610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone