Individual provider · Type 1 NPI

Charles L. Burton

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

NPI number 1154470938 Active

Practice location

7822 San Lucas Dr
Houston, TX 77083-3762

Call (281) 682-9707 Map

Fax (281) 277-7054

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 1154470938

Charles L. Burton's National Provider Identifier is 1154470938, issued on Jan 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.