Provider Demographics
NPI:1851406169
Name:NEW DIMENSIONS DAY HOSPITAL
Entity Type:Organization
Organization Name:NEW DIMENSIONS DAY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:BRAZZEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:281-333-2284
Mailing Address - Street 1:1345 SPACE PARK DR STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3469
Mailing Address - Country:US
Mailing Address - Phone:281-333-2284
Mailing Address - Fax:281-333-0221
Practice Address - Street 1:1345 SPACE PARK DR STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3469
Practice Address - Country:US
Practice Address - Phone:281-333-2284
Practice Address - Fax:281-333-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX730-A283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital