Individual provider · Type 1 NPI

Geoffrey Kevin Bruno Sr.

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

NPI number 1982140745 Active

Practice location

21203 Park Valley Dr
Katy, TX 77450-4820

Call (210) 563-0768 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Assistant Behavior Analyst 106E00000XNone listed
Pastoral Counselor 101YP1600XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Social Worker 104100000XNone listed
School Social Worker 1041S0200XNone listed
Contractor 171W00000XNone listed
Rehabilitation Counselor 225C00000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone 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.

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About NPI 1982140745

Geoffrey Kevin Bruno Sr.'s National Provider Identifier is 1982140745, issued on Jan 17, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Katy, TX. The record was last updated on Aug 18, 2020.