Organization
ELLIS HEART HAVENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MARTIN (CEO)
(713) 399-6297
Entity
Organization
Contact information
Practice address
340 N SAM HOUSTON PKWY E # A259, HOUSTON, TX 77060-3305
(346) 657-2963
Mailing address
340 N SAM HOUSTON PKWY E # A259, HOUSTON, TX 77060-3305
(346) 657-2963
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
01/08/2025
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