Organization
AJP BENNETT ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA BENNETT (OWNER)
(832) 799-1921
Entity
Organization
Contact information
Practice address
12718 BIRSEMORE LOCH DR, HUMBLE, TX 77346-4745
(832) 799-1921
Mailing address
12718 BIRSEMORE LOCH DR, HUMBLE, TX 77346-4745
(832) 799-1921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251C00000X
DAY TRAINING DEVELOPMENTALLY DISABLE SERVICES
TX
01
—
251S00000X
COMMUNITY/BEHAVIORAL HEALTH
TX
Enumeration date
02/12/2019
Last updated
01/31/2024
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