Organization
ETHEL ROW YOUTH SERVICES LLC
Active
Other names
ETHEL ROW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE OTIS WASHINGTON JR. (OWNER)
(318) 308-6172
Entity
Organization
Contact information
Practice address
1603 FIELD CT, PEARLAND, TX 77581-2666
(318) 308-6172
Mailing address
1603 FIELD CT, PEARLAND, TX 77581-2666
(318) 308-6172
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
377518817
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
37751817
TX
344800000X
Air Carrier
37751817
TX
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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