Lone Star Expeditions, Inc.

NPI #1174759385 in Groveton, Texas

Provider Information

NPI Number: 1174759385
Entity Type: Organization
Organization Name: Lone Star Expeditions, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jun 2, 2009
Last Updated: Jun 2, 2009

Practice Location

Address: 1728 FOREST ROAD 5101
City: Groveton
State: Texas
ZIP Code: 75845
Phone: (936) 831-3133

Authorized Official

Name: MS. MARY C, COVINGTON
Title: INSURANCE BILLER
Phone: (801) 466-3838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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