Organization
TRUE INDEPENDENT LIVING LLC
Active
Parent organization
TRUE INDEPENDENT LIVING LLC
Other names
True Independent Living LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRUE INDEPENDENT LIVING LLC
Authorized official
ERIC OBAROGIE (CEO)
(646) 239-7393
Entity
Organization
Contact information
Practice address
1532 STEWART DR, ROCKWALL, TX 75032-6599
(646) 239-7393
Mailing address
1532 STEWART DR, ROCKWALL, TX 75032-6599
(646) 239-7393
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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