Queen of Safety Supply Co., LLC
NPI #1578182838 in Manvel, Texas
Provider Information
- NPI Number
- 1578182838
- Entity Type
- Organization
- Organization Name
- Queen of Safety Supply Co., LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 15, 2020
- Last Updated
- Apr 15, 2020
Practice Location
Authorized Official
- Name
- MRS. RACHAEL SHANNEL COSTLY
- Title
- CEO
- Phone
- (225) 788-7048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Case Management |
| Home Health |
| Community/Behavioral Health |
| In Home Supportive Care |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Psychiatric Residential Treatment Facility |
| Non-emergency Medical Transport (VAN) |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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