Organization
PHENOMENAL LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIVIETTE NORSHENIA PHARR (CEO)
(281) 846-8273
Entity
Organization
Contact information
Practice address
21910 CATOOSA DR, SPRING, TX 77388-6902
(281) 846-8273
(832) 813-8569
Mailing address
21910 CATOOSA DR, SPRING, TX 77388-6902
(281) 846-8273
(832) 813-8569
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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