Organization
PERSEVERANCE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNA V. DEWBERRY (PROGRAM ADMINISTRATOR)
(713) 298-8504
Entity
Organization
Contact information
Practice address
9458 FUQUA ST, HOUSTON, TX 77075-3907
(713) 298-8504
Mailing address
9458 FUQUA ST, HOUSTON, TX 77075-3907
(713) 298-8504
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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