Organization
NEW DYNAMIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOODNEWS BONAGE (C.E.O.)
(281) 686-6132
Entity
Organization
Contact information
Practice address
9101 LIPAN RD, 105, HOUSTON, TX 77063
(281) 686-6132
Mailing address
9101 LIPAN RD, 105, HOUSTON, TX 77063
(281) 686-6132
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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