Organization
SOUTHEAST HCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KA-KQUANA TYVON FRAZIER (EXECUTIVE DIRECTOR)
(832) 752-4544
Entity
Organization
Contact information
Practice address
950 FM 1959 RD APT 704, HOUSTON, TX 77034-5457
(832) 752-4544
(888) 638-0616
Mailing address
950 FM 1959 RD APT 704, HOUSTON, TX 77034-5457
(832) 752-4544
(888) 638-0616
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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