Organization · Type 2 NPI

Marilyn Dickerson

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

NPI number 1609073600 Active

Practice location

8910 Marinette Dr
Houston, TX 77074-6806

Call (713) 988-4871 Map

Fax (713) 988-6117

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 1609073600

Marilyn Dickerson's National Provider Identifier is 1609073600, issued on Jul 2, 2007. 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 Dec 17, 2007.