Provider Demographics
NPI:1417359688
Name:ENDURING EDUCATION FOR EXCEPTIONAL ADULTS
Entity Type:Organization
Organization Name:ENDURING EDUCATION FOR EXCEPTIONAL ADULTS
Other - Org Name:E3 ADULTS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:832-512-3300
Mailing Address - Street 1:8210 BURNT ASH DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2905 BAER ST # 3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-5955
Practice Address - Country:US
Practice Address - Phone:832-831-8353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management