Organization Active NPI

Houston Substance Abuse Clinic, Inc.

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
National Provider Identifier
1457796336
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
TX-10113-M Issued in TX
Legal business name
HOUSTON SUBSTANCE ABUSE CLINIC, INC.
Practice address
7428 Park Place Blvd
Houston, TX 77087-4442
Phone
(713) 643-5858
Fax
(713) 643-2967
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Darlene Robertson
Title
Administrative Assistant
Phone
(337) 351-5341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X TX-10113-M TX Primary

Addresses

Primary practice location

7428 Park Place Blvd
Houston, TX 77087-4442

Mailing address

7428 Park Place Blvd
Houston, TX 77087-4442
Phone (713) 643-5858

National Provider Directory

National Provider Directory
Tax ID family
Houston Substance Abuse Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7428 Park Place Blvd
Houston, TX 77087
Phone (713) 643-5858

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1457796336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-643-5858",
            "fax_number": "713-643-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874442",
            "telephone_number": "713-643-5858",
            "fax_number": "713-643-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON SUBSTANCE ABUSE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "337-351-5341",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "TX-10113-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.