Organization · Type 2 NPI
Mallard Lake Ranch Detox Center, LLC
Substance Abuse Rehabilitation Facility · Hockley, TX
NPI number
1265024566
Active
Practice location
18407 Hopfe Rd.
Hockley, TX 77447-7119
Fax (281) 781-2526
Mailing address
P.o. Box 1104
Humble, TX 77347-1104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1265024566
Mallard Lake Ranch Detox Center, LLC's National Provider Identifier is 1265024566, issued on Feb 8, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Hockley, TX. The record was last updated on Feb 22, 2024.