Noah's Glen Residential Treatment Center

NPI #1679638639 in Houston, Texas

Provider Information

NPI Number: 1679638639
Entity Type: Organization
Organization Name: Noah's Glen Residential Treatment Center
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2121 MANSFIELD ST
City: Houston
State: Texas
ZIP Code: 77091-4033
Phone: (713) 683-9144

Authorized Official

Name: DUDLEY T FARENTHOLD, LCSW
Title: CEO
Phone: (713) 683-9144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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