CHANGE PATH ONE LLC NPI 1730671827

NPI Information

CHANGE PATH ONE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Houston, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHANGE PATH ONE, LLC NPI is 1730671827. The provider is registered as an organization entity type.
The provider Is Doing Business As Change Path One Health & Wellness.

The provider's business location address is:

3922 CLUB VALLEY DR
HOUSTON, TX
ZIP 77082-139
Phone: (713) 858-4043
Fax: (832) 781-8766

The provider's authorized official is Deon A. Flenoy .
The authorized official title is Ceo and has the following contact phone number (713) 858-4043.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 6/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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