Individual provider · Type 1 NPI

Larry Boje

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

NPI number 1477820058 Active

Practice location

9898 Bissonnet St, Suite 530
Houston, TX 77036-8270

Call (281) 660-6991 Map

Fax (713) 271-5353

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 1477820058

Larry Boje's National Provider Identifier is 1477820058, issued on Nov 25, 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 Nov 25, 2011.