Provider Demographics
NPI:1699718528
Name:THE CENTER FOR PURSUIT
Entity type:Organization
Organization Name:THE CENTER FOR PURSUIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBARTOLO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:713-525-8405
Mailing Address - Street 1:4400 HARRISBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4014
Mailing Address - Country:US
Mailing Address - Phone:713-525-8405
Mailing Address - Fax:
Practice Address - Street 1:4400 HARRISBURG BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4014
Practice Address - Country:US
Practice Address - Phone:713-525-8405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7507261Q00000X
TX133329261QA0600X
315P00000X
TX68285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038490102Medicaid
TX1699787374OtherDEBORAH GROSSETT PHD
TX81204POtherDEBORAH GROSSETT PHD
TX86804JOtherDR. KAY R. LEWIS
TX000334500OtherDAHS DAY PROGRAM
TX001004492OtherPROVIDER ID
TX091760101Medicaid
TX1801821939OtherDR. CATHERINE OKONJI-AZUOGU
TX81204POther1699787374
TX000374501OtherPROVIDER ID
TX1447278668OtherDR. KAY R. LEWIS
TX00D46NOtherBLUE CROSS BLUE SHIELD
TX00D46NMedicare UPIN
TX00D46NOtherBLUE CROSS BLUE SHIELD