OrganizationActive
The Path to Success
NPI 1093012569 · Substance Abuse Rehabilitation Facility · Houston, TX
Provider details
- NPI number
- 1093012569
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Keenon Wilborn, Ceo(832) 273-4724
Specialties & taxonomies
Residential Treatment Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4802 Caroline St
Houston, TX 77004-5608
Phone: (713) 533-0613
Street-level locationGet directions
Mailing address
4802 Caroline St
Houston, TX 77004-5608
Registry dates
- Enumerated
- 2011-02-18
- Last updated
- 2011-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.