Provider Demographics
NPI:1528191186
Name:BORDERSVILLE COMMUNITY CENTER
Entity Type:Organization
Organization Name:BORDERSVILLE COMMUNITY CENTER
Other - Org Name:HARRIS COUNTY EMPOWERMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-293-3970
Mailing Address - Street 1:8010 BARNHILL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1808
Mailing Address - Country:US
Mailing Address - Phone:832-293-3970
Mailing Address - Fax:281-540-8570
Practice Address - Street 1:8010 BARNHILL DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1808
Practice Address - Country:US
Practice Address - Phone:832-293-3970
Practice Address - Fax:281-540-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530370251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management