Provider Demographics
NPI:1609910918
Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Other - Org Name:CASA AAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:713-926-9491
Mailing Address - Street 1:204 CLIFTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-3314
Mailing Address - Country:US
Mailing Address - Phone:713-926-9491
Mailing Address - Fax:713-926-2672
Practice Address - Street 1:6001 GULF FWY
Practice Address - Street 2:BLDG C1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-5423
Practice Address - Country:US
Practice Address - Phone:713-928-6726
Practice Address - Fax:713-928-5401
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357ROtherSTATE LICENSE