Ntum Aza Altorshan
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stafford, TX. Individual provider (NPI-1).
NPI number1114579265
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1114579265
- Entity type
- Individual (NPI-1)
- Name
- Ntum Aza Altorshan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
12330 Grove Meadow DrStafford, TX 77477-2204
Phone 281-725-3919
Mailing address
12330 Grove Meadow DrStafford, TX 77477-2204
Phone 281-725-3919
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