Organization
BRIVANA CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNKE OLUNUBI (PRESIDENT)
(646) 623-1557
Entity
Organization
Contact information
Practice address
1114 VINE HOUSE DR, RICHMOND, TX 77406-3091
(646) 623-1557
Mailing address
1114 VINE HOUSE DR, RICHMOND, TX 77406-3091
(646) 623-1557
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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