Provider Demographics
NPI:1154817450
Name:HOUSTON AREA COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:HOUSTON AREA COMMUNITY SERVICES, INC.
Other - Org Name:AVENUE 360 NORTHEAST
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-426-0027
Mailing Address - Street 1:2150 W. 18TH STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-426-0027
Mailing Address - Fax:832-209-7186
Practice Address - Street 1:9816 MEMORIAL BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:713-426-0027
Practice Address - Fax:832-209-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)