Organization
COMMUNITY PARTIAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZINNE U UBANI RN (MANAGER)
(832) 731-6805
Entity
Organization
Contact information
Practice address
8323 SOUTHWEST FWY, SUITE 235, HOUSTON, TX 77074-1615
(832) 731-6805
Mailing address
8323 SOUTHWEST FWY, SUITE 235, HOUSTON, TX 77074-1615
(832) 731-6805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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