Provider Demographics
NPI:1881998706
Name:BEHAVIORAL CARE MANAGEMENT SERVICES, LLC
Entity type:Organization
Organization Name:BEHAVIORAL CARE MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MA, LNFA
Authorized Official - Phone:832-891-4379
Mailing Address - Street 1:13811 BENTPATH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2880
Mailing Address - Country:US
Mailing Address - Phone:832-891-4379
Mailing Address - Fax:
Practice Address - Street 1:13811 BENTPATH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2880
Practice Address - Country:US
Practice Address - Phone:832-891-4379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9049261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health