Individual
CORNELIUS OLUFARATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 COBURG RD UNIT 301, EUGENE, OR 97401-4900
(888) 468-9669
(541) 632-4858
Mailing address
110 BOWER BLOOM DR, ROSHARON, TX 77583-1690
(832) 817-9313
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1206232
TX
Other
Enumeration date
09/08/2025
Last updated
04/08/2026
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