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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NIKKI ALAINA SAMUELS L.C.D.C. (CEO/OWNER)
(281) 701-8604
Entity
Organization

Contact information

Practice address
301 S 9TH ST, SUITE# 120, RICHMOND, TX 77469-3448
(281) 701-8604
(281) 762-1261
Mailing address
301 S 9TH ST, 120, RICHMOND, TX 77469-3448
(281) 701-8604
(281) 762-1261

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10809
TX

Other

Enumeration date
08/28/2011
Last updated
08/28/2011
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