Individual provider · Type 1 NPI
Amanda Galvan, OWNER
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grapevine, TX
Practice location
2300 Timberline Dr
Grapevine, TX 76051-4323
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.
About NPI 1699288589
Amanda Galvan, OWNER's National Provider Identifier is 1699288589, issued on Nov 14, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grapevine, TX. The record was last updated on Nov 14, 2017.