Organization
TOTAL RESTORATION BEHAVIORAL SCIENCE AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARNEST LEE PUGH MDIV, DMIN (CEO)
(301) 556-8665
Entity
Organization
Contact information
Practice address
9823 BRILLIANT LAKE DR, HUMBLE, TX 77396-1570
(301) 556-8665
Mailing address
9659 N SAM HOUSTON PKWY E # 227, HUMBLE, TX 77396-1529
(301) 556-8665
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
286500000X
Military Hospital
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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