Organization
HEROES PLACE
Active
Organization
HEROES PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES N NTHIGA R (PROGRAME MANAGER)
(214) 714-2553
Entity
Organization
Contact information
Practice address
127 BROOKWOOD DR, RICHARDSON, TX 75080-4729
(214) 714-2553
Mailing address
127 BROOKWOOD DR, RICHARDSON, TX 75080-4729
(214) 714-2553
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
233948
TX
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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