Organization
COURAGE TO CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALEXANDER BIRTS PHD (ADMINISTRATOR)
(713) 679-8767
Entity
Organization
Contact information
Practice address
18065 UPPER BAY RD, STE 209, HOUSTON, TX 77058-3549
(713) 679-8767
Mailing address
18065 UPPER BAY RD, STE 209, HOUSTON, TX 77058-3549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158794101
—
TX
Enumeration date
07/15/2009
Last updated
07/15/2009
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