Provider Demographics
NPI:1356682421
Name:NEW MORNING GLORY
Entity Type:Organization
Organization Name:NEW MORNING GLORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:OLUCHI
Authorized Official - Middle Name:G
Authorized Official - Last Name:OKORONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-483-0469
Mailing Address - Street 1:1831 SKIPWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3032
Mailing Address - Country:US
Mailing Address - Phone:832-539-1249
Mailing Address - Fax:
Practice Address - Street 1:1831 SKIPWOOD DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3032
Practice Address - Country:US
Practice Address - Phone:832-539-1249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103TM1800X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health