Charlotte Boston Scott
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Desoto, TX. Individual provider (NPI-1).
NPI number1629426317
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1629426317
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Boston Scott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2016
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | |
| 385H00000X | Respite Care | – | – | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | – |
Practice location
508 Glenwick DrDesoto, TX 75115-4694
Phone 318-505-5160
Mailing address
504 Walnut StMinden, LA 71055-4460
Phone 318-505-5160
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