Provider Demographics
NPI:1811064512
Name:HHH COMMUNITY SERVICES OF NACOGDOCHES INC.
Entity type:Organization
Organization Name:HHH COMMUNITY SERVICES OF NACOGDOCHES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QMRP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:936-560-2588
Mailing Address - Street 1:422 E MAIN ST STE 213
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-5261
Mailing Address - Country:US
Mailing Address - Phone:936-560-2588
Mailing Address - Fax:936-560-9005
Practice Address - Street 1:422 E MAIN ST STE 213
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-5261
Practice Address - Country:US
Practice Address - Phone:936-560-2588
Practice Address - Fax:936-560-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118954320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities