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Contact Information

A REAL CHANCE COMMUNITY OUTREACH CENTER
875 N ELDRIDGE PKWY APT 424
HOUSTON, TX77079-2749
 Phone: 281-245-9855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Community/Behavioral Health

251S00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for A REAL CHANCE COMMUNITY OUTREACH CENTER · (Female)

NPI Number 1649851247
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2021
Last updated 04/16/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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