Jeffrey Chonaworah Adisam
NPI #1851831911 in Giddings, Texas
Provider Information
- NPI Number
- 1851831911
- Entity Type
- Individual
- Name
- Jeffrey Chonaworah Adisam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 8, 2017
- Last Updated
- Mar 8, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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