| Impact Homes | |
|
802 Lake Haven Ct Highland Vlg TX 75077-6478 | |
| (832) 529-7370 | |
| Not Available |
| Full Name | Impact Homes |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 802 Lake Haven Ct, Highland Vlg, Texas |
| Authorized Official Name and Position | Ruth Lavinia (ADMINISTRATOR) |
| Authorized Official Contact | 8325297370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Homes 802 Lake Haven Ct Highland Vlg TX 75077-6478 Ph: () - | Impact Homes 802 Lake Haven Ct Highland Vlg TX 75077-6478 Ph: (832) 529-7370 |
| NPI Number | 1235818329 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235818329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |