Organization
MONA MENTORS COMMUNITY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA SWAFFORD ELLIS CRISIS CHAPLAIN (PRESIDENT)
(832) 524-7884
Entity
Organization
Contact information
Practice address
6420 RICHMOND AVENDUE, SUITE 602, HOUSTON, TX 77057
(832) 524-7884
(713) 266-2090
Mailing address
1339 MACCLESBY LANE, CHANNEVIEW, TX 77530
(832) 524-7884
(713) 266-2090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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