OrganizationActive
Noah'S Glen Residential Treatment Center
NPI 1679638639 · Children's Substance Abuse Rehabilitation Facility · Houston, TX
Provider details
- NPI number
- 1679638639
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dudley Farenthold, Ceo(713) 683-9144
- License
- 2362A (TX)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2121 Mansfield St
Houston, TX 77091-4033
Phone: (713) 683-9144
Fax: (713) 683-9143
Approximate (ZIP-level) locationGet directions
Mailing address
2121 Mansfield St
Houston, TX 77091-4033
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.