Individual
JOIA HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16607 MANNINGTON RD, ACCOKEEK, MD 20607-3479
(682) 704-0233
Mailing address
17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
(682) 704-0233
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
TX
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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