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Organization

WHAT'S IMPORTANT NOW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNY OBRYANT DR. (CEO)
(832) 362-2168
Entity
Organization

Contact information

Practice address
702 ATASCOCITA RD, HUMBLE, TX 77396-3623
(832) 362-2168
Mailing address
12615 PINE SAVANNAH LN, HUMBLE, TX 77346-4658
(832) 362-2168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YS0200X
School Counselor
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261QC1500X
Community Health Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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