KIESHER INSTITUTE OF ADDICTION TREATMENT INC NPI 1265858443

Substance Abuse Rehabilitation Facility in Houston, TX

NPI 1265858443 Organization Substance Abuse Rehabilitation Facility

About KIESHER INSTITUTE OF ADDICTION TREATMENT INC

Kiesher Institute Of Addiction Treatment Inc is a provider established in Houston, Texas specializing in substance abuse rehabilitation facility. The NPI number of Kiesher Institute Of Addiction Treatment Inc is 1265858443 and was assigned on March 2014. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Benson Dike (Program Director)

NPI

1265858443

Provider NameKIESHER INSTITUTE OF ADDICTION TREATMENT INC
Provider Location Address9888 BISSONNET ST STE 405 HOUSTON, TX 77036
Provider Mailing AddressPO BOX 35726 HOUSTON, TX 77235
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-11-2014
Last Update Date03-11-2014


Primary Taxonomy

Taxonomy Code324500000X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
Taxonomy DescriptionA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Business Address

KIESHER INSTITUTE OF ADDICTION TREATMENT INC
9888 BISSONNET ST STE 405
HOUSTON, TX
ZIP 77036
Phone: (832) 649-2310

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Mailing Address

KIESHER INSTITUTE OF ADDICTION TREATMENT INC
PO BOX 35726
HOUSTON, TX
ZIP 77235
Phone:



Authorized Official

Authorized Official Name BENSON DIKE
Authorized Official TitlePROGRAM DIRECTOR
Authorized Official Phone(832) 649-2310

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderNo

Taxonomy Description: Not Available

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023298122VAC PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)9888 BISSONNET ST STE 405
HOUSTON, TX 77036
(832) 269-5944

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.