Individual provider · Type 1 NPI

Krystal Renea Williams

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

NPI number 1992550883 Active

Practice location

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Call (414) 588-7306 Map

Mailing address

7106 Lilac Dr
Venus, TX 76084-3751

Specialties and licenses

TaxonomyCodeLicense
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 1992550883

Krystal Renea Williams's National Provider Identifier is 1992550883, issued on Apr 23, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Apr 23, 2024.