Organization
JEWELECHE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN EBIGWU DIBIA (PROGRAM MANAGER)
(832) 679-5264
Entity
Organization
Contact information
Practice address
3003 WINDCHASE BLVD APT 1204, HOUSTON, TX 77082-3446
(832) 679-5264
Mailing address
3003 WINDCHASE BLVD APT 1204, HOUSTON, TX 77082-3446
(832) 679-5264
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/10/2024
Last updated
08/13/2024
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