Provider Demographics
NPI:1750571550
Name:ENHANCEMENT EDUCATION & COUNSELING CENTER
Entity type:Organization
Organization Name:ENHANCEMENT EDUCATION & COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:DEMETRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-687-4887
Mailing Address - Street 1:PO BOX 680885
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-0885
Mailing Address - Country:US
Mailing Address - Phone:281-687-4887
Mailing Address - Fax:281-895-0811
Practice Address - Street 1:15531 KUYKENDAHL RD
Practice Address - Street 2:300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3645
Practice Address - Country:US
Practice Address - Phone:281-687-4887
Practice Address - Fax:281-895-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXFB1853245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFB185OtherTDOSHS