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General NPI Number Information
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NPI Number | 1932673803
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Entity Type | Organization
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Legal Business Name | CYPRESS BEHAVIORAL HEALTH AND WELLNESS CO.
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 1400 BROADFIELD BLVD STE 200
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City | HOUSTON
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State | TX
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Zip | 77084-5162
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Country | US
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Telephone | 281-607-1370
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Fax | 832-582-3647
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Provider Business Mailing Address
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Address Line | PO BOX 680292
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City | HOUSTON
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State | TX
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Zip | 77268-0292
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Country | US
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Telephone | 281-607-1370
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Fax | 832-582-3647
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Authorized Official
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Title or Position | OWNER
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Name | BRITTNEY RUSSO
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Credential |
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Telephone | 281-607-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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