Organization · Type 2 NPI

Professional Care Facility

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dallas, TX

NPI number 1114123015 Active

Practice location

6327 Teague Dr
Dallas, TX 75241-4844

Call (214) 372-3690 Map

Fax (972) 224-5589

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X030258 (TX)

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 1114123015

Professional Care Facility's National Provider Identifier is 1114123015, issued on Jun 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Dallas, TX. The record was last updated on Aug 28, 2007.