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Professional Home Detox

Professional Home Detox is a health care provider in Lubbock, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 8104 County Road 6500, Lubbock, TX 79416-9557, US
Practice Location Phone806-773-6575
Practice Location Fax
Legal Business NamePROFESSIONAL HOME DETOX
NPI ?1407134448
Entity TypeOrganization
Enumeration Date ? Jul 25, 2011
Last Update Date ? Jul 25, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Professional Home Detox

SpecialtySpecializationLicenseLicense State
Clinic/CenterRehabilitation, Substance Use Disorder 671297Texas

official-icon Authorized Official of Professional Home Detox

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Professional Home Detox's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Courtney Carole Fuller (BSN, RN)
Authorized Official Title/PositionPROGRAM DIRECTOR
Authorized Official Phone Number806-773-6575