A Special Place 4 Me
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Prairie, TX. Organization (NPI-2).
NPI number1679301428
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1679301428
- Entity type
- Organization (NPI-2)
- Legal business name
- A Special Place 4 Me
- Organization subpart
- No
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3239 GuadaloupeGrand Prairie, TX 75054-6708
Phone 682-521-7428
Mailing address
7212 Monet LnGrand Prairie, TX 75054-0287
Phone 682-521-7428
Authorized official
Kimberly Williams
Ceo
6825217428
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