Organization · Type 2 NPI

Compassion Structured Living Center LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, TX

NPI number 1265047534 Active

Practice location

13578 San Martin Ln
Houston, TX 77083-5135

Fax (832) 230-3267

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.

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NPI record

NPI: 1265047534
Entity type: Organization (Type 2)
Issued: Sep 13, 2020
Last updated: Mar 3, 2021
Status: Active

Other names

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Compassion Structured Living Center LLC · former legal business name
Compassion Structured Living Center LLC · former legal business name

Authorized official

Mrs. Eileen E Ogbonnaya
Program Director
(346) 803-9647

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About NPI 1265047534

Compassion Structured Living Center LLC's National Provider Identifier is 1265047534, issued on Sep 13, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, TX. The record was last updated on Mar 3, 2021.