Kelo Community Human Services | |
10923 Dermott Ridge Dr Richmond TX 77406-5295 | |
(617) 590-2243 | |
Not Available |
Full Name | Kelo Community Human Services |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 10923 Dermott Ridge Dr, Richmond, Texas |
Authorized Official Name and Position | Azireno Daniel Tobi (PROGRAM DIRECTOR) |
Authorized Official Contact | 6175902243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelo Community Human Services 10923 Dermott Ridge Dr Richmond TX 77406-5295 Ph: () - | Kelo Community Human Services 10923 Dermott Ridge Dr Richmond TX 77406-5295 Ph: (617) 590-2243 |
NPI Number | 1609519636 |
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Provider Enumeration Date | 04/18/2022 |
Last Update Date | 04/18/2022 |
Certification Date | 04/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609519636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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