Individual provider · Type 1 NPI
Alfreda Gonzalez
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · El Dorado Springs, MO
Practice location
114 W Hickory St
El Dorado Springs, MO 64744-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2573-9130 (MO) |
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.
About NPI 1164551701
Alfreda Gonzalez's National Provider Identifier is 1164551701, issued on Mar 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in El Dorado Springs, MO. The record was last updated on Jul 8, 2007.