Individual provider · Type 1 NPI
Julian Lopez
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Clermont, FL
Practice location
2647 Ridgetop Ln
Clermont, FL 34711-7537
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.
Another provider at this address
About NPI 1477315083
Julian Lopez's National Provider Identifier is 1477315083, issued on Jan 29, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Clermont, FL. The record was last updated on Jan 29, 2024.