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Organization

ADDICTS CAN BE DISCIPLES TOO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY R PALMER CERTIFIED FAITH-BASE (DIRECTOR)
(713) 529-2840
Entity
Organization

Contact information

Practice address
3711 SOUTHMORE BLVD APT 1115, 1415CUSHING ST, HOUSTON, TX 77004-7948
(713) 659-7700
Mailing address
3711 SOUTHMORE BLVD APT 1115, 1415CUSHING ST, HOUSTON, TX 77004-7948
(713) 659-7700

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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