Organization · Type 2 NPI

Lucius Hodge Alexander JR

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Austin, TX

NPI number 1043374267 Active

Practice location

16203 Braesgate Dr
Austin, TX 78717-4850

Call (512) 382-9798 Map

Fax (512) 382-9798

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1043374267

Lucius Hodge Alexander JR's National Provider Identifier is 1043374267, issued on Dec 21, 2006. 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 Aug 22, 2020.