Individual provider · Type 1 NPI

Marquita Marshell Pritchett

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

NPI number 1457554057 Active

Practice location

4333 Vandervort Dr
Dallas, TX 75216-4953

Call (214) 448-4609 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1457554057

Marquita Marshell Pritchett's National Provider Identifier is 1457554057, issued on Jun 9, 2007. 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 Jul 8, 2007.