Organization
BACK INTO SOCIETY HOUSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEIDRA GARY (PRESIDENT)
(346) 482-2228
Entity
Organization
Contact information
Practice address
12507 STARRY SUMMER LN, ATASCOCITA, TX 77346-4950
(346) 482-2228
Mailing address
6575 WEST LOOP S STE 500, BELLAIRE, TX 77401-3509
(346) 482-2228
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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