OrganizationActive
18 and Beyond Special Services; LLC
NPI 1265954838 · Case Management Agency · Stafford, TX
Provider details
- NPI number
- 1265954838
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Authorized official
- Jimmie Clark, Executive Director
Practice location
10200 W Airport Blvd Ste 100
Stafford, TX 77477
Phone: (713) 575-7416
Fax: (844) 304-2867
Mailing address
10200 W Airport Blvd Ste 100
Stafford, TX 77477-3333
Registry dates
- Enumerated
- 2017-07-14
- Last updated
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.