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.
|Practice Location||8104 County Road 6500, Lubbock, TX 79416-9557, US|
|Practice Location Phone||806-773-6575|
|Practice Location Fax|
|Legal Business Name||PROFESSIONAL HOME DETOX|
|Enumeration Date ?||Jul 25, 2011|
|Last Update Date ?||Jul 25, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Rehabilitation, Substance Use Disorder||671297||Texas|
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/Position||PROGRAM DIRECTOR|
|Authorized Official Phone Number||806-773-6575|