Organization
FAMILY ADVOCACY CASE-MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA GASTON-COACHMAN LBSW, LPCI (CLINICAL DIRECTOR)
(281) 827-0655
Entity
Organization
Contact information
Practice address
16318 ANGEL ISLAND LN, HOUSTON, TX 77053-4334
(281) 827-0655
(877) 259-5587
Mailing address
3139 W HOLCOMBE BLVD, 272, HOUSTON, TX 77025-1505
(281) 827-0655
(877) 259-5587
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
29035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154589903
—
TX
Enumeration date
05/08/2007
Last updated
07/03/2008
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