Organization Name: | SAFE TRI COUNTY COMMUNITY CENTER ASSISTING CHILDREN AND WOMEN |
NPI Number: | 1336151679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA SUE KING (EXECUTIVE DIRECTOR) |
Mailing Address: | 406 S Gordon St Alvin |
State: | TX US |
Postal Code: | 775112432 |
Phone Number: | 2813312934 |
Fax Number: | 2815853709 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 8914 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |