Organization
COGIC
Active
Other names
A Fresh Start RTC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD MINNIEWEATHER LCCA (ASST. PROGRAM DIRECTOR)
(713) 631-0981
Entity
Organization
Contact information
Practice address
7809 WINSHIP ST, HOUSTON, TX 77028-2441
(713) 631-0981
(713) 631-4713
Mailing address
7809 WINSHIP ST, HOUSTON, TX 77028-2441
(713) 631-0981
(713) 631-4713
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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