Organization · Type 2 NPI
Prairie Harbor, LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Wallis, TX
Practice location
7146 Highway 60
Wallis, TX 77485-9507
Mailing address
PO Box 517
Wallis, TX 77485-0517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
5 other providers at this address
- Added IncentiveChildren's Substance Abuse Rehabilitation Facility Wallis, TX NPI 1386822542
- Brett Bergvall, LPCProfessional Counselor Wallis, TX NPI 1780924183
- Lindsey Bartay, LPCProfessional Counselor Wallis, TX NPI 1740823012
- Luz Alquicira, LCSW, LCDC, ASOTPClinical Social Worker Wallis, TX NPI 1952838963
- Melanie Renee Graybill, LCSWSocial Worker Wallis, TX NPI 1487930251
About NPI 1235565797
Prairie Harbor, LLC's National Provider Identifier is 1235565797, issued on Sep 16, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wallis, TX. The record was last updated on Feb 28, 2014.