Provider Demographics
NPI:1205159993
Name:ALL GOODE EDUCATIONAL TRAINING FACILITY
Entity type:Organization
Organization Name:ALL GOODE EDUCATIONAL TRAINING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:713-498-2663
Mailing Address - Street 1:1116 MORTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3055
Mailing Address - Country:US
Mailing Address - Phone:713-498-2663
Mailing Address - Fax:
Practice Address - Street 1:8787 BRAE ACRES RD
Practice Address - Street 2:SUITE 604
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4100
Practice Address - Country:US
Practice Address - Phone:713-498-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10807324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility