Organization
BEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN WILSON (CEO)
(804) 615-9772
Entity
Organization
Contact information
Practice address
12900 SHADOW CREEK PKWY APT 5209, PEARLAND, TX 77584-7477
(804) 615-9772
Mailing address
1814 SHORELINE DR, MISSOURI CITY, TX 77459-1678
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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