Provider Demographics
NPI:1023817251
Name:CHRISBORN PLACE INC
Entity type:Organization
Organization Name:CHRISBORN PLACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DUBANIMI
Authorized Official - Middle Name:E
Authorized Official - Last Name:NWADEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-725-4730
Mailing Address - Street 1:13698 TONNOCHY CT,
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:713-725-4730
Mailing Address - Fax:866-703-8463
Practice Address - Street 1:13698 TONNOCHY CT,
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:713-725-4730
Practice Address - Fax:866-703-8463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services