Organization
CHRISBORN INC
Active
Other names
CHRISBORN INC
Organization subpart
No
Provider details
NPI number
Authorized official
DUBANIMI EEBA NWADIEI (PROGRAM DIRECTOR)
(713) 725-4730
Entity
Organization
Contact information
Practice address
13698 TONNOCHY CT, HOUSTON, TX 77083
(713) 725-4730
(866) 703-8463
Mailing address
13698 TONNOCHY CT, HOUSTON, TX 77083
(713) 725-4730
(866) 703-8463
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007815
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007815
HCS CONTRACT NUMBER
TX
01
—
001010383
TEXAS HOME LIVING
TX
Enumeration date
10/20/2006
Last updated
12/05/2024
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