Individual provider · Type 1 NPI

Christina Etuk Kizzee

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

NPI number 1346443066 Active

Practice location

11970 Wilcrest Dr Ste 102
Houston, TX 77031-1923

Call (281) 530-6780 Map

Fax (281) 530-8188

Mailing address

PO Box 769
Fresno, TX 77545-0769

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X001007700 (TX)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X001007699 (TX)

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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About NPI 1346443066

Christina Etuk Kizzee's National Provider Identifier is 1346443066, issued on Jun 8, 2007. 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 Nov 19, 2015.