Organization
FAMILY TIES LIVING CENTER
Active
Other names
Family Ties Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA YVETTE HENDERSON (PROGRAM MANAGER)
(832) 630-0352
Entity
Organization
Contact information
Practice address
18707 TIMBERS TRACE DRIVE, HUMBLE, TX 77346
(832) 630-0352
Mailing address
18707 TIMBERS TRACE DR, HUMBLE, TX 77346-2672
(832) 630-0352
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
TX
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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