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Organization
AUSPICIOUS COMMUNITY SERVICE LLC
Active
Organization
AUSPICIOUS COMMUNITY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR EKINADUESA IDUSUYI MR (DIRECTOR)
(225) 288-7011
Entity
Organization
Contact information
Practice address
17300 E CAMINO REAL SUITE 101B, HOUSTON, TX 77058
(281) 339-7665
(281) 863-9461
Mailing address
12125 TRAWLER PL, TEXAS CITY, TX 77568-1628
(225) 288-7011
(281) 863-9461
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/23/2023
Last updated
08/25/2026
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