Individual provider · Type 1 NPI

Tracy D. Davis

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

NPI number 1649472044 Active

Practice location

314 Old Spring Ln
Houston, TX 77015-2044

Call (832) 216-8889 Map

Fax (713) 453-4452

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 1649472044

Tracy D. Davis's National Provider Identifier is 1649472044, issued on Jun 5, 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 Jul 8, 2007.