Organization
SQUARE 1 FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO WALLANCE (CEO / OWNER)
(757) 943-0252
Entity
Organization
Contact information
Practice address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
(757) 943-0252
Mailing address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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