Organization
NOELLE'S MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERSIE VINITA DENNIS SR. (PROGRAM DIRECTOR)
(713) 502-8075
Entity
Organization
Contact information
Practice address
903 TWIN FALLS RD, HOUSTON, TX 77088-1917
(713) 502-8075
Mailing address
903 TWIN FALLS RD, HOUSTON, TX 77088-1917
(713) 502-8075
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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