Organization
OMNIA AND UNUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CENTERRAHDA ROGERS (DIRECTOR)
(708) 275-2092
Entity
Organization
Contact information
Practice address
21026 KIRKLAND WOODS DR, HOUSTON, TX 77095-2861
(708) 275-2092
Mailing address
1603 CAPITOL AVE STE 413, CHEYENNE, WY 82001-4562
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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