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Organization

CHANGE PATH ONE, LLC

Active
Other names
Change Path One Health & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEON A. FLENOY (CEO)
(713) 858-4043
Entity
Organization

Contact information

Practice address
3922 CLUB VALLEY DR, HOUSTON, TX 77082-4139
(713) 858-4043
(832) 781-8766
Mailing address
14027 MEMORIAL DR # 419, HOUSTON, TX 77079-6826
(713) 858-4043
(832) 781-8766

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/04/2018
Last updated
06/04/2018
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