Organization · NPI-2
A Real Chance Community Outreach Center
Psychologist · Houston, TX
NPI number1649851247
StatusActive
Last updated in NPPESApr 16, 2021
Details
- NPI
- 1649851247
- Entity type
- Organization (NPI-2)
- Legal business name
- A Real Chance Community Outreach Center
- Organization subpart
- No
- Enumeration date
- Apr 16, 2021
- Certification date
- Apr 16, 2021
- Last updated
- Apr 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
875 N Eldridge Pkwy Apt 424Houston, TX 77079-2749
Phone 281-245-9855
Mailing address
Po Box 90166Houston, TX 77290-0166
Authorized official
David Knighten
Director
2816769052
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