Individual provider · Type 1 NPI

Kafayat Mogoli

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

NPI number 1740176205 Active

Practice location

3125 Boulder Ranch Dr
Houston, TX 77063-1482

Call (832) 517-5572 Map

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 1740176205

Kafayat Mogoli's National Provider Identifier is 1740176205, issued on Jun 13, 2025. 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 Jun 13, 2025.