Organization
AMAZING ARC ANGELS INC.
Active
Organization
AMAZING ARC ANGELS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KQISHA LENISE WORSHAM (CEO ADMINISTRATOR)
(832) 721-2005
Entity
Organization
Contact information
Practice address
2005 DEWALT ST, HOUSTON, TX 77088-4719
(713) 688-7731
(713) 688-7736
Mailing address
2005 DEWALT ST, HOUSTON, TX 77088-4719
(713) 688-7731
(713) 688-7736
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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