Individual provider · Type 1 NPI
Michael Eldridge Bonincontri
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Killeen, TX
Practice location
1214 Alta Vista Dr
Killeen, TX 76549-1129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.
About NPI 1447318399
Michael Eldridge Bonincontri's National Provider Identifier is 1447318399, issued on Dec 4, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Killeen, TX. The record was last updated on Jul 8, 2007.