Provider Demographics
NPI:1629823570
Name:RUMHAC-SL
Entity type:Organization
Organization Name:RUMHAC-SL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIBATU
Authorized Official - Middle Name:K
Authorized Official - Last Name:DABOH
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:346-383-4785
Mailing Address - Street 1:8544 W BELLFORT AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2208
Mailing Address - Country:US
Mailing Address - Phone:346-383-4785
Mailing Address - Fax:
Practice Address - Street 1:8007 BARNES RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-0103
Practice Address - Country:US
Practice Address - Phone:214-490-7268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)