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Organization

A TEXAS CHILDREN AND FAMILY DEVELOPMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH WILEY (CEO)
(713) 725-5992
Entity
Organization

Contact information

Practice address
16821 BUCCANEER LN STE 200, HOUSTON, TX 77058
(713) 725-5992
Mailing address
16821 BUCCANEER LN STE 200, HOUSTON, TX 77058

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
05/23/2024
Last updated
06/14/2024
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