| Kelo Community Human Services | |
|
10923 Dermott Ridge Dr Richmond TX 77406-5295 | |
| (617) 590-2243 | |
| Not Available |
| Full Name | Kelo Community Human Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10923 Dermott Ridge Dr, Richmond, Texas |
| Authorized Official Name and Position | Azireno Daniel Tobi (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6175902243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelo Community Human Services 10923 Dermott Ridge Dr Richmond TX 77406-5295 Ph: () - | Kelo Community Human Services 10923 Dermott Ridge Dr Richmond TX 77406-5295 Ph: (617) 590-2243 |
| NPI Number | 1609519636 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609519636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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