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Courtesy Community Mental Health Center INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Livingston, TX. Organization (NPI-2).

NPI number1487989554
StatusActive
Last updated in NPPESJan 11, 2010

Details

NPI
1487989554
Entity type
Organization (NPI-2)
Legal business name
Courtesy Community Mental Health Center INC
Organization subpart
No
Enumeration date
Oct 7, 2009
Last updated
Jan 11, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)–TXYes

Practice location

414 S. Washington Ave.
Livingston, TX 77351-9087

Phone 936-327-5022 · Fax 936-327-5023

Mailing address

414 S Washington Ave
Livingston, TX 77351-3447

Phone 936-327-5022 · Fax 936-327-5023

Authorized official

Dina L Dickerson
Ceo
9363275022

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