Whalio Doctors

NPI 1174759385

Lone Star Expeditions, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Groveton, TX

Practice location

Address
1728 Forest Road 5101, Groveton, TX 75845
Phone
(936) 831-3133

Authorised official

Name
Mary C, Covington
Title
Insurance Biller
Phone
(801) 466-3838

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 822139 (TX)

Registry record

NPI
1174759385
Entity type
Organization
NPI issued
2 Jun 2009
Record last updated
2 Jun 2009

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.