Organization
VICAD HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR UZO ONWUMERE (PROGRAM DIRECTOR)
(713) 208-0251
Entity
Organization
Contact information
Practice address
1710 MISTY FAWN LN, FRESNO, TX 77545-9503
(281) 431-5576
Mailing address
1710 MISTY FAWN LN, FRESNO, TX 77545-9503
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2005
Last updated
08/22/2020
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