Organization
ABUNDANTCHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKISHA NICOLE WILLIAMS (CEO)
(832) 830-3374
Entity
Organization
Contact information
Practice address
100002 PORT ANGELES DRIVE, HOUSTON, TX 77086
(832) 830-3374
Mailing address
100002 PORTANGELS DRIVE, HOUSTON, TX 77086
(832) 830-3374
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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