Provider Demographics
NPI:1912196577
Name:GWENDOLYN GIBBS
Entity Type:Organization
Organization Name:GWENDOLYN GIBBS
Other - Org Name:DAYBREAK REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-208-3798
Mailing Address - Street 1:9000 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1526
Mailing Address - Country:US
Mailing Address - Phone:713-270-0764
Mailing Address - Fax:713-270-7999
Practice Address - Street 1:9000 SOUTHWEST FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1526
Practice Address - Country:US
Practice Address - Phone:713-270-0764
Practice Address - Fax:713-270-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health