Astrid Village Assisted Centre

NPI #1245690676 in Rockwall, Texas

Provider Information

NPI Number: 1245690676
Entity Type: Organization
Organization Name: Astrid Village Assisted Centre
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 26, 2016
Last Updated: Feb 26, 2016

Practice Location

Address: 2860 CLEAR CREEK DR
City: Rockwall
State: Texas
ZIP Code: 75032-9247
Phone: (214) 766-1174

Authorized Official

Name: NGOZI STEPHANIE CHUKWUKELU, RN
Title: PROGRAM DIRECTOR
Phone: (214) 766-1174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Residential Treatment Facility, Physical Disabilities	320700000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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