Organization · NPI-2
11817 Landrum INC
Substance Abuse Rehabilitation Facility · Beaumont, TX
NPI number1922519727
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1922519727
- Entity type
- Organization (NPI-2)
- Legal business name
- 11817 Landrum INC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2017
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Connected Path Recovery (Doing Business As)
- Woodlands Recovery Centers (Doing Business As)
Practice location
4351 Crow RdBeaumont, TX 77706-6910
Phone 409-299-8555 · Fax 409-271-3075
Mailing address
4351 Crow RdBeaumont, TX 77706-6910
Phone 409-299-8555 · Fax 409-271-3075
Authorized official
Regina Michelle Tate
Ceo
4098532273
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