Organization
HAVEN FOR SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY PEAVY (EXECUTIVE DIRECTOR)
(346) 291-0675
Entity
Organization
Contact information
Practice address
9258 SOLVISTA PASS LN, HOUSTON, TX 77070-2146
(346) 291-0675
Mailing address
PO BOX 30313, HOUSTON, TX 77249-0313
(832) 217-9306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/12/2021
Last updated
08/02/2021
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