Rachael Shannel Costly

NPI #1356976120 in Manvel, Texas

Provider Information

NPI Number
1356976120
Entity Type
Individual
Name
Rachael Shannel Costly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Mar 11, 2020
Last Updated
Mar 11, 2020

Practice Location

Address
9500 COUNTY ROAD 190
City
Manvel
State
Texas
ZIP Code
77578-5078
Phone
(225) 788-7048

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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