Prairie Harbor, Llc

NPI 1235565797 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1235565797
Enumeration Date 09/16/2013
Last Updated 02/28/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RANDALL RANDALL
Position EXECUTIVE DIRECTOR
Phone (979) 217-1581
Fax
Practice Location
7146 HIGHWAY 60
WALLIS TX, 77485-9507, US
Phone (979) 217-1581
Fax
Business Location
PO BOX 517
WALLIS TX, 77485-0517, US
Phone
Fax
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
Remove 1235565797 NPI Number
 

According to our database, Prairie Harbor, Llc NPI is 1235565797, taxonomy code is 322D00000X Prairie Harbor, Llc physically located at 7146 Highway 60, Wallis TX, 77485-9507. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235565797 NPI number is provided on an as is basis without warranty of any kind. 1235565797 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Harbor, Llc are for informational purposes only.