Organization
FRESH THERAPEUTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ILESANMI (CEO)
(410) 530-6628
Entity
Organization
Contact information
Practice address
9210 CRESTVIEW DR, HOUSTON, TX 77078-4002
(832) 514-7925
Mailing address
11042 STONE LEGEND DR, TOMBALL, TX 77375-0071
(410) 530-6628
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
03/13/2025
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