person
Ntum Aza Altorshan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Stafford, Texas
NPI 1114579265

Ntum Aza Altorshan is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stafford, TX. Ntum Aza Altorshan practices in Stafford, TX. The NPI Number for Ntum Aza Altorshan is 1114579265 and holds a License No. (Texas).

The current practice location address for Ntum Aza Altorshan is 12330 Grove Meadow Dr, Stafford, TX and can be reached out via phone at 281-725-3919.

Location: 12330 Grove Meadow Dr, Stafford, TX, 77477-2204
person
Provider Profile Details
NPI Number
1114579265
Provider Name
Ntum Aza Altorshan
Credential
Provider Entity Type
Individual
Gender
Female
Address
12330 Grove Meadow Dr, Stafford, TX, 77477-2204
Phone Number
281-725-3919
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12330 Grove Meadow Dr
City
State
Zip
77477-2204
Phone Number
281-725-3919
Fax Number
person
Provider Business Mailing Address Details
Address
12330 Grove Meadow Dr
City
State
Zip
77477-2204
Phone Number
281-725-3919
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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