| Niche Medical Academy Inc | |
|
7066 Lakeview Haven Dr Ste 125b Houston TX 77095-2560 | |
| (281) 300-4250 | |
| Not Available |
| Full Name | Niche Medical Academy Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7066 Lakeview Haven Dr Ste 125b, Houston, Texas |
| Authorized Official Name and Position | Eusebius Uche Ojonta (PRESIDENT) |
| Authorized Official Contact | 2813394250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niche Medical Academy Inc 7066 Lakeview Haven Dr Ste 125b Houston TX 77095-2560 Ph: (281) 300-4250 | Niche Medical Academy Inc 7066 Lakeview Haven Dr Ste 125b Houston TX 77095-2560 Ph: (281) 300-4250 |
| NPI Number | 1174092977 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 11/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174092977 | NPI | - | NPPES |
| 32058967491 | Other | TX | HCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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