Organization
A SPECIAL KIND OF TLC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE ENRIQUEZ (PRESIDENT)
(713) 926-3666
Entity
Organization
Contact information
Practice address
604 ROBERTS ST, HOUSTON, TX 77003-3356
(713) 926-3666
(713) 660-1452
Mailing address
604 ROBERTS ST, HOUSTON, TX 77003-3356
(713) 926-3666
(713) 660-1452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001007230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007230
HCS CONTRACT
TX
Enumeration date
02/23/2007
Last updated
03/11/2011
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