Change Agents Of Social Services | |
840 Canton Grass Ln La Marque TX 77568-1007 | |
(702) 305-0652 | |
Not Available |
Full Name | Change Agents Of Social Services |
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Speciality | Community/behavioral Health |
Location | 840 Canton Grass Ln, La Marque, Texas |
Authorized Official Name and Position | Jaden Hines (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7023050652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Change Agents Of Social Services 840 Canton Grass Ln La Marque TX 77568-1007 Ph: () - | Change Agents Of Social Services 840 Canton Grass Ln La Marque TX 77568-1007 Ph: (702) 305-0652 |
NPI Number | 1902662984 |
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Provider Enumeration Date | 02/26/2024 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Identifier | Type | State | Issuer |
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1902662984 | NPI | - | NPPES |
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