| Southern Comfort Bhc | |
|
7119 Village Way Houston TX 77087-2904 | |
| (832) 689-8770 | |
| Not Available |
| Full Name | Southern Comfort Bhc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7119 Village Way, Houston, Texas |
| Authorized Official Name and Position | Cherrelle M Phillips (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8326898770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Comfort Bhc 7119 Village Way Houston TX 77087-2904 Ph: (832) 689-8770 | Southern Comfort Bhc 7119 Village Way Houston TX 77087-2904 Ph: (832) 689-8770 |
| NPI Number | 1932453008 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932453008 | NPI | - | NPPES |
| 1427131242 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 01607528 (Texas) | Primary |
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