Organization
CENTERED YOUTH CLINIC AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINWE EFURIBE MD, MPH (PHYSICIAN OWNER, MANAGER)
(860) 983-6542
Entity
Organization
Contact information
Practice address
14008 SHADOWGLEN BLVD STE 300, MANOR, TX 78653-3406
(512) 842-9655
Mailing address
20617 FAIRLEAF ST, PFLUGERVILLE, TX 78660-2664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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