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9201 Grogans Mill Rd The Woodlands TX 77380-3621 | |
| (281) 466-8602 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9201 Grogans Mill Rd, The Woodlands, Texas |
| Authorized Official Name and Position | Kellie A Cole (CLINICAL MANAGER) |
| Authorized Official Contact | 2814668602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9201 Grogans Mill Rd The Woodlands TX 77380-3621 Ph: (281) 466-8602 | 9201 Grogans Mill Rd The Woodlands TX 77380-3621 Ph: (281) 466-8602 |
| NPI Number | 1144411703 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144411703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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