Organization
BSAV INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY RENE LEWIS (ADMINISTRATIVE DIRECTOR)
(832) 894-3997
Entity
Organization
Contact information
Practice address
523 N SAM HOUSTON PKWY E STE 345, HOUSTON, TX 77060-4036
(832) 894-3997
(888) 908-5230
Mailing address
9210 FRIENDLY RD, HOUSTON, TX 77093-6506
(832) 894-3997
(888) 908-5230
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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