Organization
AARDVARK CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUGBENGA OLATUNJI AJALA (CEO/PROGRAM DIRECTOR)
(832) 455-9359
Entity
Organization
Contact information
Practice address
10039 BISSONNET STREET, STE.219, HOUSTON, TX 77036
(832) 455-9359
Mailing address
PO BOX 710184, HOUSTON, TX 77271-0184
(832) 455-9359
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
12/21/2012
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