Individual provider · Type 1 NPI

Terrance Alfonso Williams Jr.

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Las Vegas, NV

NPI number 1053663450 Active

Practice location

5317 Redberry St
Las Vegas, NV 89108-4019

Mailing address

5317 West Red Berry
North Las Vegas, NV 89032-7943

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1053663450

Terrance Alfonso Williams Jr.'s National Provider Identifier is 1053663450, issued on Oct 9, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 9, 2025.