Organization
AEA AVENUES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL JORDAN (EXECUTIVE DIRECTOR)
(321) 917-9192
Entity
Organization
Contact information
Practice address
21621 MERCHANTS WAY STE 307, KATY, TX 77449-7342
(321) 917-9192
Mailing address
21621 MERCHANTS WAY STE 307, KATY, TX 77449-7342
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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