Organization
106BH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON NATHAN FORD (MANAGER)
(346) 842-0424
Entity
Organization
Contact information
Practice address
1034 REGIONAL PARK DR, HOUSTON, TX 77060-1117
(346) 842-0424
Mailing address
1034 REGIONAL PARK DR, HOUSTON, TX 77060-1117
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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