RACHAEL SHANNEL COSTLY

MANVEL, TX
NPI1356976120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
RACHAEL SHANNEL COSTLY
9500 COUNTY ROAD 190
MANVEL, TX 77578-5078
Phone number: 225-788-7048
Mailing Address
RACHAEL SHANNEL COSTLY
6811 LAUGHLIN DR
MISSOURI CITY, TX 77489-3412
Phone number: 225-788-7048