Vicad Human Services

NPI 1164417804 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1164417804
Enumeration Date 09/19/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name VICTOR UZO VICTOR
Position PROGRAM DIRECTOR
Phone (281) 431-5576
Fax
Practice Location
1710 MISTY FAWN LN
FRESNO TX, 77545-9503, US
Phone (281) 431-5576
Fax
Business Location
1710 MISTY FAWN LN
FRESNO TX, 77545-9503, US
Phone
Fax
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Vicad Human Services NPI is 1164417804, taxonomy code is 320600000X Vicad Human Services physically located at 1710 Misty Fawn Ln, Fresno TX, 77545-9503. NPI Number 1033115704 has the healthcare provider type.

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1164417804 NPI number is provided on an as is basis without warranty of any kind. 1164417804 is maintained by the National Plan & Provider Enumeration System. The contents of Vicad Human Services are for informational purposes only.