Organization
SULLIVAN HELP CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANITA SHANTA SULLIVAN (PROGRAM MANAGER)
(936) 856-6136
Entity
Organization
Contact information
Practice address
15710 BOND LN, CONROE, TX 77303-4183
(832) 549-1364
(855) 693-4662
Mailing address
13985 BROKEN ARROW DR, WILLIS, TX 77378-4323
(936) 856-6136
(936) 856-7549
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
08/19/2010
Last updated
03/12/2021
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