Individual
KAFAYAT MOGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 BOULDER RANCH DR, HOUSTON, TX 77063-1482
(832) 517-5572
Mailing address
3125 BOULDER RANCH DR, HOUSTON, TX 77063-1482
(832) 517-5572
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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