Organization
A REAL CHANCE COMMUNITY OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KNIGHTEN (DIRECTOR)
(281) 676-9052
Entity
Organization
Contact information
Practice address
875 N ELDRIDGE PKWY APT 424, HOUSTON, TX 77079-2749
(281) 245-9855
Mailing address
PO BOX 90166, HOUSTON, TX 77290-0166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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