Organization
HOUSE OF BETHESDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA JACKSON (OWNER)
(832) 630-7382
Entity
Organization
Contact information
Practice address
2027 HAMLIN VALLEY DR, HOUSTON, TX 77090-2018
(832) 630-7382
Mailing address
2027 HAMLIN VALLEY DR, HOUSTON, TX 77090-2018
(832) 630-7382
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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