Nina Mason
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, TX. Individual provider (NPI-1).
NPI number1003213331
StatusActive
Last updated in NPPESDec 2, 2014
Details
- NPI
- 1003213331
- Entity type
- Individual (NPI-1)
- Name
- Nina Mason
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2014
- Last updated
- Dec 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
1330 Fordham RdDallas, TX 75216-6219
Phone 214-749-8013
Mailing address
1330 Fordham RdDallas, TX 75216-6219
Phone 214-749-8013
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