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Organization

SUPERIOR COVENANT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICE MARIE MARTIN (CEO)
(832) 994-8558
Entity
Organization

Contact information

Practice address
18922 WOODGLEN SHADOWS DR, HUMBLE, TX 77346-5128
(832) 994-8558
Mailing address
18922 WOODGLEN SHADOWS DR, HUMBLE, TX 77346-5128
(832) 994-8558

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
261QM0855X
Adolescent and Children Mental Health Clinic/Center
311Z00000X
Custodial Care Facility
311ZA0620X
Adult Care Home Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
343900000X
Non-emergency Medical Transport (VAN)
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
07/30/2024
Last updated
05/04/2026
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