| Different Direction Llc | |
|
1211 Wesley Dr Stafford TX 77477-6493 | |
| (832) 640-1062 | |
| Not Available |
| Full Name | Different Direction Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1211 Wesley Dr, Stafford, Texas |
| Authorized Official Name and Position | Karen Amber Webb (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8326401062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Different Direction Llc Po Box 262 Missouri City TX 77459-0262 Ph: () - | Different Direction Llc 1211 Wesley Dr Stafford TX 77477-6493 Ph: (832) 640-1062 |
| NPI Number | 1063713956 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063713956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 61470 (Texas) | Primary |
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