Organization
HIDDEN ROOTS MENTAL HEALTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMARY TINEO (CEO1)
(804) 629-2673
Entity
Organization
Contact information
Practice address
6601 CYPRESSWOOD DR, SPRING, TX 77379-7891
(804) 629-2673
Mailing address
205 E BROADWAY STE G, HOPEWELL, VA 23860-2809
(804) 629-2673
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/24/2023
Last updated
05/04/2023
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