NPI 1093012569
The Path to Success
Practice location
- Address
- 4802 Caroline St, Houston, TX 77004-5608
- Phone
- (713) 533-0613
Authorised official
- Name
- Keenon Wilborn
- Title
- Ceo
- Phone
- (832) 273-4724
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Clinical Social Worker
Registry record
- NPI
- 1093012569
- Entity type
- Organization
- NPI issued
- 18 Feb 2011
- Record last updated
- 18 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.