Organization
ST MONICA HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NKEM (CEO)
(713) 548-3613
Entity
Organization
Contact information
Practice address
11311 SCOTTSDALE DR, MEADOWS PLACE, TX 77477-1811
(713) 548-3613
Mailing address
11311 SCOTTSDALE DR, MEADOWS PLACE, TX 77477-1811
(713) 548-3613
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TX
Enumeration date
09/18/2020
Last updated
09/18/2020
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