Organization
PROSPER PATH GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CULLEN (OWNER)
(612) 816-8528
Entity
Organization
Contact information
Practice address
19007 AQUATIC DR, HUMBLE, TX 77346-8029
(612) 816-8528
Mailing address
19007 AQUATIC DR, HUMBLE, TX 77346-8029
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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