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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

NPI Number 1649851247
LBN Legal business name A REAL CHANCE COMMUNITY OUTREACH CENTER
Authorized official DAVID KNIGHTEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2021
Last updated 04/16/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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