Individual provider · Type 1 NPI
Issac Dawon Earls I
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Austin, TX
Practice location
4502 Magin Meadow Dr
Austin, TX 78744-5248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Austin
About NPI 1003019464
Issac Dawon Earls I's National Provider Identifier is 1003019464, issued on Jun 6, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.