Individual provider · Type 1 NPI
Odessa Reese
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Arlington, TX
Practice location
1805 Lake Fork Ln
Arlington, TX 76002-4059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1184019838
Odessa Reese's National Provider Identifier is 1184019838, issued on Mar 31, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Arlington, TX. The record was last updated on Apr 7, 2015.