| Overlooked Behavirol Program | |
|
19411 Cactus Rose Katy TX 77449 | |
| (832) 499-4235 | |
| (281) 829-5566 |
| Full Name | Overlooked Behavirol Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19411 Cactus Rose, Katy, Texas |
| Authorized Official Name and Position | Jacqueline Harris (ADMINISTRATOR) |
| Authorized Official Contact | 8324994235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlooked Behavirol Program 19411 Cactus Rose Katy TX 77449 Ph: (832) 499-4235 | Overlooked Behavirol Program 19411 Cactus Rose Katy TX 77449 Ph: (832) 499-4235 |
| NPI Number | 1689924045 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689924045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (Texas) | Secondary |
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