Organization Name: | LTHM GROVES - OPERATIONS LLC |
NPI Number: | 1639310634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAMIAN KIRK SOILEAU (CEO) |
Mailing Address: | 5500 39th St Groves |
State: | TX US |
Postal Code: | 776192905 |
Phone Number: | 4099625733 |
Fax Number: | 4099635202 |
NPI Enumeration Date: | 03/20/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 100006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |