Organization
TEXAS IDD SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA HALL (CEO)
(713) 330-5963
Entity
Organization
Contact information
Practice address
1515 BROADWAY ST, HOUSTON, TX 77012-3719
(713) 330-5963
Mailing address
24529 COUNTRY OAKS BLVD, MONTGOMERY, TX 77316-3898
(713) 330-5963
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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