Provider Demographics
NPI:1417470485
Name:VALHALLA TREATMENT AND RECOVERY CENTER
Entity Type:Organization
Organization Name:VALHALLA TREATMENT AND RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS & COMPLIANCE CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSEWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LBSW
Authorized Official - Phone:832-248-4636
Mailing Address - Street 1:19870 CYPRESS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1478
Mailing Address - Country:US
Mailing Address - Phone:832-722-8570
Mailing Address - Fax:
Practice Address - Street 1:19870 CYPRESS CHURCH RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1478
Practice Address - Country:US
Practice Address - Phone:832-722-8570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility