NPI 1104584564
Prosocial Peers Social Skills
Practice location
- Address
- 21623 San Marino Dr, Katy, TX 77450-7604
- Phone
- (832) 790-6779
- Mailing address
- PO Box 331, Porter, TX 77365-0331
Authorised official
- Name
- Casey Redus
- Title
- Owner
- Phone
- (832) 790-6779
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1104584564
- Entity type
- Organization
- NPI issued
- 2 Dec 2021
- Record last updated
- 2 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.