Organization · Type 2 NPI

Harold Wilson

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

NPI number 1467731992 Active

Practice location

1235 North Loop W Ste 1015
Houston, TX 77008-4708

Call (832) 245-8103 Map

Mailing address

PO Box 1492
Cypress, TX 77410-1492

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 1467731992

Harold Wilson's National Provider Identifier is 1467731992, issued on Aug 15, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, TX. The record was last updated on Aug 15, 2011.