Provider Demographics
NPI:1134422512
Name:NORTHSHORE TREATMENT CENTER
Entity type:Organization
Organization Name:NORTHSHORE TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AA
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-455-7008
Mailing Address - Street 1:176 UVALDE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-1506
Mailing Address - Country:US
Mailing Address - Phone:713-455-7008
Mailing Address - Fax:713-455-4870
Practice Address - Street 1:176 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-1506
Practice Address - Country:US
Practice Address - Phone:713-455-7008
Practice Address - Fax:713-455-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty