Provider Demographics
NPI:1639473473
Name:MISHIE CRAFT
Entity Type:Organization
Organization Name:MISHIE CRAFT
Other - Org Name:ADJ CARE SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-791-9132
Mailing Address - Street 1:2015 ENGELMOHR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3805
Mailing Address - Country:US
Mailing Address - Phone:713-791-9132
Mailing Address - Fax:281-931-5833
Practice Address - Street 1:2015 ENGELMOHR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3805
Practice Address - Country:US
Practice Address - Phone:713-791-9132
Practice Address - Fax:281-931-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)