Organization
NAVALE REVOLUTION LIVING
Active
Other names
NaVale Revolution Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA WYNN (FOUNDER/CEO)
(713) 859-1089
Entity
Organization
Contact information
Practice address
10434 EXECUTIVE LAKE DR, STAFFORD, TX 77477-3613
(713) 859-1089
Mailing address
10434 EXECUTIVE LAKE DR, STAFFORD, TX 77477-3613
(713) 859-1089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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