Provider Demographics
NPI:1598944902
Name:LAW ACADEMY, INC.
Entity Type:Organization
Organization Name:LAW ACADEMY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:409-962-2266
Mailing Address - Street 1:1909 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-1845
Mailing Address - Country:US
Mailing Address - Phone:409-962-2266
Mailing Address - Fax:
Practice Address - Street 1:1909 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-1845
Practice Address - Country:US
Practice Address - Phone:409-962-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3015261QR0405X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children