Organization · Type 2 NPI
Providian Total Health LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Baytown, TX
Practice location
618 Travis St
Baytown, TX 77520-7568
Fax (832) 615-0813
Mailing address
718 Mistycreek Dr
Richmond, TX 77406-1263
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.
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- Richwell Living Solutions LLCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Baytown, TX NPI 1316866304
About NPI 1740599240
Providian Total Health LLC's National Provider Identifier is 1740599240, issued on Sep 30, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Baytown, TX. The record was last updated on Sep 30, 2010.