Organization
OPEN WINGS INDEPENDENT LIVING, INC.
Active
Other names
PREP 360 ATHLETICS
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN EPPS (EXECUTIVE DIRECTOR)
(832) 871-9191
Entity
Organization
Contact information
Practice address
2800 POST OAK BLVD STE 4100, HOUSTON, TX 77056-6145
(832) 871-9191
Mailing address
2800 POST OAK BLVD STE 4100, HOUSTON, TX 77056-6145
(832) 871-9191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
133N00000X
Nutritionist
—
—
174200000X
Meals Provider
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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