Provider Demographics
NPI:1316185846
Name:GREENHOUSE HUMAN SERVICES INC.
Entity Type:Organization
Organization Name:GREENHOUSE HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MCPHERSON
Authorized Official - Last Name:KNOWLES
Authorized Official - Suffix:II
Authorized Official - Credentials:JD
Authorized Official - Phone:210-685-2291
Mailing Address - Street 1:17411 EMERALD CANYON DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5633
Mailing Address - Country:US
Mailing Address - Phone:210-490-4284
Mailing Address - Fax:
Practice Address - Street 1:17411 EMERALD CANYON DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-5633
Practice Address - Country:US
Practice Address - Phone:210-490-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities