Organization
IN POWER TO EMPOWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HOLLOWAY (ADMINISTRATOR)
(832) 289-4733
Entity
Organization
Contact information
Practice address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
(832) 289-4733
Mailing address
5600 S WILLOW DR STE 206, HOUSTON, TX 77035-4700
(832) 289-4733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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