Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY CHONAWORAH ADISAM
Active Sole ProprietorJEFFREY CHONAWORAH ADISAM is a Emotionally Disturbed Children Residential Treatment healthcare provider located in GIDDINGS, Texas. NPI 1851831911 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · GIDDINGS, TX
Registration Details
- NPI Number
- 1851831911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2017 (9.4803770054748 yrs)
- Last Updated
- Mar 8, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
1087 E INDEPENDENCE ST306GIDDINGS, TX, 789421434Browse TX providers · Browse ZIP 78942
- Phone
- 7202777404
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.