Organization
VERNA WAFER HUMPHREY
Active
Other names
In the Master's Arms Boarding &Theraputic Services
Organization subpart
No
Provider details
NPI number
Authorized official
VERNA WAFER HUMPHREY LMSW (SOCIAL WORKER/OWNER)
(832) 276-4942
Entity
Organization
Contact information
Practice address
5402 HIRONDEL ST, HOUSTON, TX 77033-3133
(832) 276-4942
Mailing address
2705 CRESTWOOD DR, DEER PARK, TX 77536-3593
(832) 276-4942
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
73445
TX
251S00000X
Community/Behavioral Health Agency
37445
TX
251S00000X
Community/Behavioral Health Agency
Primary
73445
TX
320800000X
Mental Illness Community Based Residential Treatment Facility
37445
TX
323P00000X
Psychiatric Residential Treatment Facility
73445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822843
—
TX
Enumeration date
04/14/2010
Last updated
04/14/2010
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