Organization
ELEMENTS OF CHANGE ASSISTIVE AND REHABILITVE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUENTIN JENKINS (DIRECTOR)
(832) 835-2200
Entity
Organization
Contact information
Practice address
340 N SAM HOUSTON PKWY E, 299, HOUSTON, TX 77060-3305
(832) 835-2200
Mailing address
PO BOX 3342, SPRING, TX 77383
(832) 835-2200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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