111 Ave B LLC
Case Management in Humble, TX. Organization (NPI-2).
NPI number1831932151
StatusActive
Last updated in NPPESJul 13, 2024
Details
- NPI
- 1831932151
- Entity type
- Organization (NPI-2)
- Legal business name
- 111 Ave B LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2024
- Certification date
- Jul 13, 2024
- Last updated
- Jul 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Texas Care Humble Isd (Doing Business As)
Practice location
111 S Avenue BHumble, TX 77338-4510
Phone 281-733-7525
Mailing address
111 S Avenue BHumble, TX 77338-4510
Authorized official
Robert Panzarella
Ceo
2817337525
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