Provider Demographics
NPI:1861287575
Name:DOVES EYE CHILD PLACEMENT AGENCY
Entity type:Organization
Organization Name:DOVES EYE CHILD PLACEMENT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA DAGRELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGRELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-359-7637
Mailing Address - Street 1:1011 MANORGLEN DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4185
Mailing Address - Country:US
Mailing Address - Phone:832-359-7637
Mailing Address - Fax:
Practice Address - Street 1:1011 MANORGLEN DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4185
Practice Address - Country:US
Practice Address - Phone:832-359-7637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health