Organization
CYANN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN FORD (MANAGING MEMBER)
(713) 454-4313
Entity
Organization
Contact information
Practice address
3800 COUNTY ROAD 94, APT 23305, MANVEL, TX 77578-2958
(713) 454-4313
Mailing address
PO BOX 331355, HOUSTON, TX 77233-1355
(713) 454-4313
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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