NOAH'S GLEN RESIDENTIAL TREATMENT CENTER
NPI 1679638639
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Houston, TX

Active since December 27, 2006
2121 MANSFIELD ST, HOUSTON, TX 77091(713) 683-9144(713) 683-9143 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Noah's Glen Residential Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOAH'S GLEN RESIDENTIAL TREATMENT CENTER (NPI 1679638639) is a healthcare organization registered as a substance abuse treatment, children in Houston, Texas and active in the NPI registry since December 2006. The organization lists Dudley T Farenthold, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679638639
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameNOAH'S GLEN RESIDENTIAL TREATMENT CENTER
Location Address2121 MANSFIELD STHouston, TX 77091-4033
Mailing Address2121 Mansfield StHouston, TX 77091-4033 · (713) 683-9144 · Fax (713) 683-9143
Fax(713) 683-9143
Organization SubpartNo
Authorized OfficialDudley T FarentholdCeo · (713) 683-9144
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1679638639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License Licensed in TX · 2362A
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
2121 MANSFIELD ST, Houston, TX 77091

Other Identifiers 1

Other2362ATX · Dshs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noah's Glen Residential Treatment Center's NPI number?

The NPI number for Noah's Glen Residential Treatment Center is 1679638639. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Noah's Glen Residential Treatment Center located?

Noah's Glen Residential Treatment Center is located at 2121 Mansfield St, Houston, TX 77091. The listed phone number is (713) 683-9144.

What is Noah's Glen Residential Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Noah's Glen Residential Treatment Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.