Provider Demographics
NPI:1255517538
Name:TANGIBLE DIFFERENCE LEARNING CENTER, LLC
Entity type:Organization
Organization Name:TANGIBLE DIFFERENCE LEARNING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CONTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-462-6060
Mailing Address - Street 1:7010 NW 100 DR STE A104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2052
Mailing Address - Country:US
Mailing Address - Phone:713-462-6060
Mailing Address - Fax:
Practice Address - Street 1:7010 NW 100 DR STE A104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2052
Practice Address - Country:US
Practice Address - Phone:713-462-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00-04-1385251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health