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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