Provider Demographics
NPI:1710312061
Name:CHASE BEHAVIOR SOLUTIONS LLC
Entity Type:Organization
Organization Name:CHASE BEHAVIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-713-2660
Mailing Address - Street 1:2712 KINGS RETREAT CIR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-5600
Mailing Address - Country:US
Mailing Address - Phone:281-713-2660
Mailing Address - Fax:
Practice Address - Street 1:10203 BIRCHRIDGE DR
Practice Address - Street 2:230
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2200
Practice Address - Country:US
Practice Address - Phone:713-936-4234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1119037251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health