Organization · Type 2 NPI
KCCL LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mission, TX
Practice location
3002 Los Milagros
Mission, TX 78572-7580
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 1720739485
KCCL LLC's National Provider Identifier is 1720739485, issued on Jan 14, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mission, TX. The record was last updated on Jan 14, 2022.