Organization Name: | DEVIATIONS, INC. |
NPI Number: | 1083878391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET CLAIRE NICHOLASAS (PRESIDENT/SECRETARY/TREASURER) |
Mailing Address: | 15 Ranch Creek Way Magnolia |
State: | TX US |
Postal Code: | 77354 |
Phone Number: | 7138824268 |
Fax Number: | 2812922365 |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1480 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |