Organization
AMANUEL D ATSBAHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMANUEL DEBESAY ATSBAHA (CEO)
(281) 704-8495
Entity
Organization
Contact information
Practice address
7400 BELLERIVE DR APT 1303, HOUSTON, TX 77036-3048
(281) 704-8495
(713) 974-6653
Mailing address
7400BELLERIVE APT.1303, HOUSTON, TX 77036
(281) 704-8495
(713) 974-6653
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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