Organization Name: | FINDING SOLACE IOP, LLC |
NPI Number: | 1073960084 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERICA LAINE BRUCE (CLINICAL DIRECTOR) |
Mailing Address: | 4502 Riverstone Blvd Suite # 601 Missouri City |
State: | TX US |
Postal Code: | 774595204 |
Phone Number: | 2817789530 |
Fax Number: | 2817789532 |
NPI Enumeration Date: | 05/19/2016 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | P0585 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |