Provider Demographics
NPI:1144593633
Name:QUALITY BEHAVIORAL CARE LLC
Entity Type:Organization
Organization Name:QUALITY BEHAVIORAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-724-7731
Mailing Address - Street 1:3003 S LOOP W
Mailing Address - Street 2:STE 320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1301
Mailing Address - Country:US
Mailing Address - Phone:832-724-7731
Mailing Address - Fax:713-910-0358
Practice Address - Street 1:3003 SOUTH LOOP WEST
Practice Address - Street 2:STE 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:832-724-7731
Practice Address - Fax:713-910-0296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)