Organization · Type 2 NPI
Mosaic
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bryan, TX
Practice location
302 Post Office St
Bryan, TX 77801-2141
Fax (979) 775-5733
Mailing address
4980 S 118th St
Omaha, NE 68137-2220
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 1720126725
Mosaic's National Provider Identifier is 1720126725, issued on Feb 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 Bryan, TX. The record was last updated on Aug 22, 2020.