Organization
FAMILY ALLIANCE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA A MACK (EXECUTIVE DIRECTOR)
(832) 446-3221
Entity
Organization
Contact information
Practice address
5206 CYPRESS CREEK PKWY STE 104, HOUSTON, TX 77069-4405
(832) 446-3221
(832) 666-2975
Mailing address
5206 CYPRESS CREEK PKWY STE 104, HOUSTON, TX 77069-4405
(832) 446-3221
(832) 666-2975
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376635401
—
TX
Enumeration date
05/21/2020
Last updated
05/21/2020
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