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Organization
DOUBT'D POTENTIAL GRO
Active
Organization
DOUBT'D POTENTIAL GRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIWANNA LOVE (OWNER)
(713) 859-7995
Entity
Organization
Contact information
Practice address
15500 VOSS RD STE 1006, SUGAR LAND, TX 77498-4601
(713) 859-7995
Mailing address
3536 HIGHWAY 6 STE 277, SUGAR LAND, TX 77478-4401
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
02/08/2023
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