Provider Demographics
NPI:1043027980
Name:CRI COMPREHENSIVE BEHAVIORAL HEALTH CLINIC
Entity type:Organization
Organization Name:CRI COMPREHENSIVE BEHAVIORAL HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHELSCIE
Authorized Official - Middle Name:RAGJE'
Authorized Official - Last Name:IRBY
Authorized Official - Suffix:
Authorized Official - Credentials:CHWI
Authorized Official - Phone:346-235-4944
Mailing Address - Street 1:2429 PALISADE CREST DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2933
Mailing Address - Country:US
Mailing Address - Phone:346-235-4944
Mailing Address - Fax:
Practice Address - Street 1:2429 PALISADE CREST DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2933
Practice Address - Country:US
Practice Address - Phone:346-235-4944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty