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26630 Bellwood Pines Dr Katy TX 77494-0556 | |
| (832) 659-6895 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 26630 Bellwood Pines Dr, Katy, Texas |
| Authorized Official Name and Position | Gloria Enoruwa Omigie (CEO) |
| Authorized Official Contact | 8326596895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26630 Bellwood Pines Dr Katy TX 77494-0556 Ph: (832) 754-0216 | 26630 Bellwood Pines Dr Katy TX 77494-0556 Ph: (832) 659-6895 |
| NPI Number | 1982221701 |
|---|---|
| Provider Enumeration Date | 06/27/2020 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982221701 | NPI | - | NPPES |
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