Individual provider · Type 1 NPI

Shemika Lutwiane Gourdine

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

NPI number 1508325218 Active

Practice location

1521 Sherwood Forest St Apt 1508
Houston, TX 77043-3605

Call (832) 434-6790 Map

Fax (832) 409-6606

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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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About NPI 1508325218

Shemika Lutwiane Gourdine's National Provider Identifier is 1508325218, issued on Mar 13, 2019. 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 13, 2019.