Healthcare Provider Details
I. General information
NPI: 1285851709
Provider Name (Legal Business Name): PEOPLE CHANGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8320 GULF FWY STE 214
HOUSTON TX
77017-4553
US
IV. Provider business mailing address
8320 GULF FWY STE 214
HOUSTON TX
77017-4553
US
V. Phone/Fax
- Phone: 832-549-7342
- Fax:
- Phone: 832-549-7342
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ERIC
SHAWN
POTIER
Title or Position: CEO
Credential:
Phone: 832-549-7342