Organization
C M PAGE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM M EVERETT (PROGRAM ADMINISTRATOR)
(281) 222-6600
Entity
Organization
Contact information
Practice address
3121 8TH AVE N, TEXAS CITY, TX 77590-6719
(281) 222-6600
Mailing address
3121 8TH AVE N, TEXAS CITY, TX 77590-6719
(281) 222-6600
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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