Provider Demographics
NPI:1801502620
Name:TERESA MARICELA NORIA
Entity type:Organization
Organization Name:TERESA MARICELA NORIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MARICELA
Authorized Official - Last Name:NORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-366-6763
Mailing Address - Street 1:21426 CHESTER CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6462
Mailing Address - Country:US
Mailing Address - Phone:832-366-6763
Mailing Address - Fax:
Practice Address - Street 1:21426 CHESTER CLIFF LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6462
Practice Address - Country:US
Practice Address - Phone:832-366-6763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities