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Organization

DIVINE FAVOR TRANSITIONAL LIVING FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CRYSTAL ALEXIA JEFFREY (OWNER)
(832) 338-6350
Entity
Organization

Contact information

Practice address
16714 SIDONIE DR, HOUSTON, TX 77053-2562
(832) 338-6350
(833) 241-7558
Mailing address
13010 OLEANDER BAY LN, TEXAS CITY, TX 77568-2218
(832) 338-6350
(833) 241-7558

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0800X
Recovery Care Clinic/Center
310400000X
Assisted Living Facility
332U00000X
Home Delivered Meals

Other

Enumeration date
11/17/2023
Last updated
05/26/2024
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