Individual provider · Type 1 NPI

Domonique Jefferson

Community/Behavioral Health Agency · Houston, TX

NPI number 1124407127 Active

Practice location

13226 Rustic Garden Dr
Houston, TX 77083-0104

Call (832) 288-1931 Map

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1124407127

Domonique Jefferson's National Provider Identifier is 1124407127, issued on May 22, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Houston, TX. The record was last updated on May 22, 2015.