Organization
COASTAL COMMUNITY CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HYACINTH M CHIEDU (DIRECTOR)
(713) 694-0051
Entity
Organization
Contact information
Practice address
4615 NORTH FWY STE 204, HOUSTON, TX 77022-2920
(713) 694-0051
(713) 694-4711
Mailing address
4615 NORTH FWY STE 204, HOUSTON, TX 77022-2920
(713) 694-0051
(713) 694-4711
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
001008928
TX
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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