Organization · Type 2 NPI

Tri- Elizabeth Himes

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Buena Park, CA

NPI number 1417386236 Active

Practice location

8341 San Pablo Dr
Buena Park, CA 90620-2919

Fax (714) 826-0296

Mailing address

6962 San Paco Cir
Buena Park, CA 90620-2964

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1417386236

Tri- Elizabeth Himes's National Provider Identifier is 1417386236, issued on Nov 2, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Buena Park, CA. The record was last updated on Nov 2, 2013.