Organization
MARYBA LLC
Active
Other names
Texas Care Northside Houston
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA GEORGINA CASTILLO (OWNER)
(832) 665-4807
Entity
Organization
Contact information
Practice address
15603 KUYKENDAHL RD STE 300, HOUSTON, TX 77090-3656
(281) 733-7525
Mailing address
1905 BAILEY ST, HOUSTON, TX 77006-1507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/04/2024
Last updated
10/07/2024
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