Organization
TRINITY AYOMIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIE K SAMUEL (PROGRAM DIRECTOR)
(713) 997-0808
Entity
Organization
Contact information
Practice address
10039 BISSONNET ST STE 107, HOUSTON, TX 77036-7838
(713) 997-0808
(713) 903-3717
Mailing address
10039 BISSONNET ST STE 107, HOUSTON, TX 77036-7838
(713) 997-0808
(713) 903-3717
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09616066
DPS
TX
Enumeration date
05/28/2018
Last updated
01/18/2023
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