NPI | 1215698642 |
---|---|
Doing Business As | BETHEL HILLS CLINIC |
Entity Type | Organization |
Authorized Contact | OLUBUKOLA KOMOLAFE Medical Director 832-542-3181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-01-07 |
Last Update Date | 2022-01-07 |