Organization
DIVERSITY GROUP, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA K. WEATHERS (EXECUTIVE DIRECTOR)
(713) 365-0429
Entity
Organization
Contact information
Practice address
2317 BINGLE RD, HOUSTON, TX 77055-1106
(713) 365-0429
(713) 365-9581
Mailing address
2317 BINGLE RD, HOUSTON, TX 77055-1106
(713) 365-0429
(713) 365-6581
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
113536
TX
Other
Enumeration date
09/13/2005
Last updated
08/22/2020
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