Organization
FAMILY ADVOCACY CASE MANAGEMENT SVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA GASTON-COACHMAN LBSW (CLINICAL ADMINISTRATOR)
(832) 633-3010
Entity
Organization
Contact information
Practice address
3139 W HOLCOMBE BLVD # 272, HOUSTON, TX 77025-1505
(832) 633-3010
(800) 262-5172
Mailing address
3139 W HOLCOMBE BLVD # 272, HOUSTON, TX 77025-1505
(832) 633-3010
(800) 262-5172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
29035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
TX
05
—
251B00000X
—
TX
Enumeration date
03/06/2012
Last updated
03/06/2012
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