Individual provider · Type 1 NPI
Pete Martinez
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Benito, TX
Practice location
26619 Line G Road
San Benito, TX 78586
Fax (956) 289-5514
Mailing address
PO Box 227
Lozano, TX 78568-0227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Private Vehicle | 347C00000X | 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 1811201478
Pete Martinez's National Provider Identifier is 1811201478, issued on Aug 5, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in San Benito, TX. The record was last updated on Aug 5, 2010.