Provider Demographics
NPI:1417156100
Name:P C CHOLLETT LLC
Entity Type:Organization
Organization Name:P C CHOLLETT LLC
Other - Org Name:A LITTLE SOMETHING DIFFERENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHOLLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-256-9361
Mailing Address - Street 1:9000 SOUTHWEST FWY STE 303
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1521
Mailing Address - Country:US
Mailing Address - Phone:713-589-5649
Mailing Address - Fax:713-422-2475
Practice Address - Street 1:9000 SOUTHWEST FWY STE 303
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1521
Practice Address - Country:US
Practice Address - Phone:812-888-9248
Practice Address - Fax:281-888-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities