111 Ave B LLC

NPI #1831932151 in Humble, Texas

Provider Information

NPI Number
1831932151
Entity Type
Organization
Organization Name
111 Ave B LLC
Primary Specialty
Case Management
Enumeration Date
Jun 14, 2024
Last Updated
Jul 13, 2024

Practice Location

Address
111 S AVENUE B
City
Humble
State
Texas
ZIP Code
77338-4510
Phone
(281) 733-7525

Authorized Official

Name
ROBERT PANZARELLA
Title
CEO
Phone
(281) 733-7525

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Community/Behavioral Health
Case Management

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