Individual provider · Type 1 NPI

Sherry Clark

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

NPI number 1346620259 Active

Practice location

7030 Capella Park Ave
Dallas, TX 75236-3003

Call (817) 540-1363 Map

Mailing address

7030 Capella Park Av
Dallas, TX 75236

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X320900000 (TX)

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 1346620259

Sherry Clark's National Provider Identifier is 1346620259, issued on Jun 5, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Jun 5, 2015.