COASTAL COMMUNITY CARE SERVICES, INC
Residential Treatment Facilities at North Fwy, Houston, TX

License number
Texas 001008928
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. HYACINTH M CHIEDU
Title: DIRECTOR
Phone: (713) 694-0051
Address
Address
4615 North Fwy NORTH STE 204, Houston, TX 77022
National Provider ID: 1811325392
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COASTAL COMMUNITY CARE SERVICES, INC

4615 N Fwy STE 204, Houston, TX 77022

Registration:
Jul 27, 2012
State ID:
0801632325
Business type:
Domestic For-Profit Corporation
Administra, Administrator, Directors:
Aloysius Ikwuezuma (Director), 4615 N Fwy SUITE 204, Houston, TX 77022,Hy Chiedu (Administra, Administrator, Director), 4615 N Fwy SUITE 204, Houston, TX 77022
Agent:
Hyacinth M Chiedu,4615 N Fwy #204, Houston, TX 77022 (Physical)
TIN:
32048610656

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