Provider Demographics
NPI:1114211133
Name:CUFA BEHAVIORAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CUFA BEHAVIORAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FESTUS
Authorized Official - Middle Name:IKECHUKWU
Authorized Official - Last Name:UZOKWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-693-1300
Mailing Address - Street 1:4506 WILLIAMHURST LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4534
Mailing Address - Country:US
Mailing Address - Phone:832-693-1300
Mailing Address - Fax:
Practice Address - Street 1:12660 BEECHNUT ST
Practice Address - Street 2:SUITE # 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3981
Practice Address - Country:US
Practice Address - Phone:832-693-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9945261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health