Individual provider · Type 1 NPI

Thaddeus Gibson

Mental Illness Community Based Residential Treatment Facility · Houston, TX

NPI number 1699394320 Active

Practice location

15638 Western Skies Dr
Houston, TX 77086-1169

Call (832) 756-3681 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility 323P00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1699394320

Thaddeus Gibson's National Provider Identifier is 1699394320, issued on Apr 13, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Houston, TX. The record was last updated on Apr 13, 2020.