Healthcare Provider Details

I. General information

NPI: 1003125766
Provider Name (Legal Business Name): CENTER FOR BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 UVALDE
HOUSTON TX
77015-1506
US

IV. Provider business mailing address

176 UVALDE RD
HOUSTON TX
77015-1506
US

V. Phone/Fax

Practice location:
  • Phone: 713-455-7008
  • Fax: 713-455-4870
Mailing address:
  • Phone: 713-455-7008
  • Fax: 713-455-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number64859
License Number StateTX

VIII. Authorized Official

Name: MR. AMOS E. OZUMBA
Title or Position: CEO
Credential: ED.D, LMSW-AP, LCDC
Phone: 713-455-7008