Provider Demographics
NPI:1689958605
Name:AJAM COUNSELING CENTER
Entity Type:Organization
Organization Name:AJAM COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-533-4957
Mailing Address - Street 1:701 N POST OAK RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3839
Mailing Address - Country:US
Mailing Address - Phone:832-533-4957
Mailing Address - Fax:281-679-9141
Practice Address - Street 1:701 N POST OAK RD
Practice Address - Street 2:SUITE B3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3839
Practice Address - Country:US
Practice Address - Phone:832-533-4957
Practice Address - Fax:281-679-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management