| Santa Maria Hostel, Inc. | |
|
2605 Parker Road Houston TX 77093 | |
| (713) 301-2618 | |
| (713) 691-0910 |
| Full Name | Santa Maria Hostel, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2605 Parker Road, Houston, Texas |
| Authorized Official Name and Position | Barbara M Page (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7133012618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Hostel, Inc. 2605 Parker Road Houston TX 77093 Ph: (713) 301-2618 | Santa Maria Hostel, Inc. 2605 Parker Road Houston TX 77093 Ph: (713) 301-2618 |
| NPI Number | 1174209571 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174209571 | NPI | - | NPPES |
| 211815001 | Medicaid | TX |
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