Individual provider · Type 1 NPI
Ntum Aza Altorshan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Stafford, TX
Practice location
12330 Grove Meadow Dr
Stafford, TX 77477-2204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Stafford
About NPI 1114579265
Ntum Aza Altorshan's National Provider Identifier is 1114579265, issued on Jul 9, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Stafford, TX. The record was last updated on Jul 9, 2019.