Individual provider · Type 1 NPI

Kamdem James Manga

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

NPI number 1740992858 Active

Practice location

1910 Pacific Ave Ste 11500
Dallas, TX 75201-4559

Call (240) 646-4794 Map

Mailing address

317 Ridgeland Oaks Dr
Fort Worth, TX 76120-1745

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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Dallas

See all in Dallas →

About NPI 1740992858

Kamdem James Manga's National Provider Identifier is 1740992858, issued on Dec 20, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Dec 20, 2022.