Provider Demographics
NPI:1316201981
Name:TREATHEM, INC.
Entity Type:Organization
Organization Name:TREATHEM, INC.
Other - Org Name:GULF WINDS RTC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMFT, LSOTP
Authorized Official - Phone:979-245-2334
Mailing Address - Street 1:2904 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-6828
Mailing Address - Country:US
Mailing Address - Phone:979-245-2334
Mailing Address - Fax:888-848-2411
Practice Address - Street 1:2904 1ST ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-6828
Practice Address - Country:US
Practice Address - Phone:979-245-2334
Practice Address - Fax:888-848-2411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1221350322D00000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children