Total Restoration Behavioral Science and Counseling Center

NPI #1700487816 in Humble, Texas

Provider Information

NPI Number: 1700487816
Entity Type: Organization
Organization Name: Total Restoration Behavioral Science and Counseling Center
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 9823 BRILLIANT LAKE DR
City: Humble
State: Texas
ZIP Code: 77396-1570
Phone: (301) 556-8665

Authorized Official

Name: DR. EARNEST LEE PUGH, MDIV, DMIN
Title: CEO
Phone: (301) 556-8665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Public Health, Federal — Public Health, Federal	261QP0904X
Clinic/Center - Public Health, State or Local — Public Health, State or Local	261QP0905X
Clinic/Center - VA — VA	261QV0200X
Military Hospital	286500000X
Intermediate Care Facility, Mental Illness	310500000X
Community/Behavioral Health	251S00000X	Primary

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