Organization
ECTON OAKS HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CRANDALL (ADMINISTRATOR)
(832) 639-3167
Entity
Organization
Contact information
Practice address
15407 PRAIRIE OAKS DR, HOUSTON, TX 77083-5532
(713) 446-9677
Mailing address
15407 PRAIRIE OAKS DR, HOUSTON, TX 77083-5532
(713) 446-9677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
TX
05
—
215B00000X
—
TX
05
—
261QM0801X
—
TX
05
—
261QM0850X
—
TX
05
—
261QM0855X
—
TX
Enumeration date
10/05/2022
Last updated
10/05/2022
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