Individual provider · Type 1 NPI
Charles Anthony Allen Jr.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ledbetter, TX
Practice location
5300 FM 1291
Ledbetter, TX 78946-5169
Fax (979) 249-5227
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 1396662052
Charles Anthony Allen Jr.'s National Provider Identifier is 1396662052, issued on Jul 2, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Ledbetter, TX. The record was last updated on Jul 2, 2026.