Organization
AAA SUPPORT STEM CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY IGIEHON (CEO/PRESIDENT)
(214) 348-0100
Entity
Organization
Contact information
Practice address
9450 SKILLMAN ST STE 123, DALLAS, TX 75243-8235
(214) 348-0100
(214) 461-0251
Mailing address
9450 SKILLMAN ST STE 123, DALLAS, TX 75243-8235
(214) 348-0100
(214) 461-0251
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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