| Centered Youth Clinic And Consulting Pllc | |
|
14008 Shadowglen Blvd Ste 300 Manor TX 78653-3406 | |
| (512) 842-9655 | |
| Not Available |
| Full Name | Centered Youth Clinic And Consulting Pllc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 14008 Shadowglen Blvd Ste 300, Manor, Texas |
| Authorized Official Name and Position | Chinwe Efuribe (PHYSICIAN OWNER, MANAGER) |
| Authorized Official Contact | 8609836542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Youth Clinic And Consulting Pllc 20617 Fairleaf St Pflugerville TX 78660-2664 Ph: () - | Centered Youth Clinic And Consulting Pllc 14008 Shadowglen Blvd Ste 300 Manor TX 78653-3406 Ph: (512) 842-9655 |
| NPI Number | 1306420013 |
|---|---|
| Provider Enumeration Date | 05/09/2021 |
| Last Update Date | 05/09/2021 |
| Certification Date | 05/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306420013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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