Organization
BRISTERS PLACE, LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHISHA S. BATES (OWNER)
(713) 927-3350
Entity
Organization
Contact information
Practice address
22310 TEA ROSE CT, RICHMOND, TX 77407-2067
(713) 927-3350
Mailing address
22310 TEA ROSE CT, RICHMOND, TX 77407-2067
(713) 927-3350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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