MEDICARE: BECK AND JOHNSON COMMUNITY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1124283718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BECK AND JOHNSON COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	6401 BINGLE RD STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-1329
Country	:	US
Telephone Number	:	713-884-5629
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 BINGLE RD STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-1329
Country	:	US
Telephone Number	:	713-884-5629
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CASSANDRA JOHNSON
Credential	:
Telephone Number	:	713-884-5629

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	05/21/2015

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