Organization
FAITH HOUSE GROUP HOME
Active
Organization
FAITH HOUSE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARSHA WILLIAMS CMA (SOLE PROPERITOR)
(832) 716-0408
Entity
Organization
Contact information
Practice address
9393 TIDWELL RD, APT 3111, HOUSTON, TX 77078-3429
(832) 716-0408
Mailing address
9393 TIDWELL RD, APT 3111, HOUSTON, TX 77078-3429
(832) 716-0408
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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