Organization
DIVERSE ACHIEVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIBUZO POLYCARP IWEAJUNWA I (MD)
(832) 296-3123
Entity
Organization
Contact information
Practice address
29218 FOX FOUNTAIN LN, SPRING, TX 77386-3096
(281) 771-4910
Mailing address
20330 WHITEWOOD DR APT 5208, SPRING, TX 77373-5562
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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