Organization
ADOLBI CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID IKOYA (CEO)
(713) 686-8548
Entity
Organization
Contact information
Practice address
3737 MANGUM RD, HOUSTON, TX 77092-5407
(713) 686-8548
Mailing address
3737 MANGUM RD, HOUSTON, TX 77092-5407
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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