Provider Demographics
NPI:1215358189
Name:EB QUALITY HEALTH CORPORATION
Entity Type:Organization
Organization Name:EB QUALITY HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:BLAMA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:832-744-5619
Mailing Address - Street 1:19703 HON CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2623
Mailing Address - Country:US
Mailing Address - Phone:832-744-5619
Mailing Address - Fax:
Practice Address - Street 1:19703 HON CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2623
Practice Address - Country:US
Practice Address - Phone:832-744-5619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness