Provider Demographics
NPI:1790272128
Name:EMBRACING TMP COMMUNITY CENTER
Entity Type:Organization
Organization Name:EMBRACING TMP COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LS
Authorized Official - Phone:888-343-2741
Mailing Address - Street 1:240 E HOUSE ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3544
Mailing Address - Country:US
Mailing Address - Phone:888-343-2741
Mailing Address - Fax:888-343-2741
Practice Address - Street 1:240 E HOUSE ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3544
Practice Address - Country:US
Practice Address - Phone:888-343-2741
Practice Address - Fax:888-343-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty