Organization · Type 2 NPI

Allen Clark IV

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, TX

NPI number 1780505529 Active

Practice location

15947 Walnut Wood Dr
Houston, TX 77084-2911

Call (702) 515-9048 Map

Fax (702) 515-9048

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Houston

See all in Houston →

About NPI 1780505529

Allen Clark IV's National Provider Identifier is 1780505529, issued on Jul 24, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, TX. The record was last updated on Jul 24, 2026.