Organization
FORGOTTEN ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PEAKES-TAYLOR (PROGRAM DIRECTOR)
(281) 993-5116
Entity
Organization
Contact information
Practice address
3305 INDUSTRIAL DR, PEARLAND, TX 77581-5907
(819) 935-1162
(281) 412-5060
Mailing address
7918 BROADWAY ST STE 104, PEARLAND, TX 77581-7758
(281) 412-6435
(281) 412-5060
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
11/30/2020
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