Organization
ABJ ACTIVE LIFE HCS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR BOYAGON BUTIC (PRESIDENT)
(281) 894-4047
Entity
Organization
Contact information
Practice address
8902 CRAZY HORSE TRL, HOUSTON, TX 77064-7151
(281) 894-4047
(281) 894-4047
Mailing address
8902 CRAZY HORSE TRL, HOUSTON, TX 77064-7151
(281) 894-4047
(281) 894-4047
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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