Provider Demographics
NPI:1780088237
Name:ADVANCED BEHAVIORAL HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED BEHAVIORAL HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-644-8280
Mailing Address - Street 1:3213 BINZ ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7813
Mailing Address - Country:US
Mailing Address - Phone:713-644-8280
Mailing Address - Fax:713-644-2991
Practice Address - Street 1:3213 BINZ ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7813
Practice Address - Country:US
Practice Address - Phone:713-644-8280
Practice Address - Fax:713-644-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)