Organization
CRYSTAL BLUE SAPPHIRE HCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYELL GRACE HALL (PROGRAM DIRECTOR)
(832) 335-4346
Entity
Organization
Contact information
Practice address
14107 BRAYFORD PLACE DR, HOUSTON, TX 77014-2063
(832) 335-4346
Mailing address
14107 BRAYFORD PLACE DR, HOUSTON, TX 77014-2063
(832) 335-4346
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251C00000X
TX
Other
Enumeration date
12/11/2008
Last updated
12/30/2008
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