Individual provider · Type 1 NPI

Tia Ferguson

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

NPI number 1609109354 Active

Practice location

12430 Ashcroft Dr
Houston, TX 77035-5406

Call (713) 729-8535 Map

Fax (713) 729-8535

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
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 1609109354

Tia Ferguson's National Provider Identifier is 1609109354, issued on Sep 14, 2009. 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 Sep 14, 2009.