Organization
THE MENNINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CZARINA V AZZAM (STAFF THERAPIST INTERN)
(832) 881-8990
Entity
Organization
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
Mailing address
2408 YORKTOWN ST, APT. 234, HOUSTON, TX 77056-4573
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
76606
TX
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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