Provider Demographics
NPI:1528435443
Name:YOU CAN LEAN ON ME HOUSING SOLUTIONS
Entity type:Organization
Organization Name:YOU CAN LEAN ON ME HOUSING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-776-2094
Mailing Address - Street 1:983 COUNTY ROAD 2095 # 247
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:TX
Mailing Address - Zip Code:77575-8054
Mailing Address - Country:US
Mailing Address - Phone:936-776-2094
Mailing Address - Fax:
Practice Address - Street 1:983 COUNTY ROAD 2095 # 247
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:TX
Practice Address - Zip Code:77575-8054
Practice Address - Country:US
Practice Address - Phone:936-776-2094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities