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Organization
DUNCAN L. FOREST DBA SUMMER HOUSE
Active
Organization
DUNCAN L. FOREST DBA SUMMER HOUSE
Active
Other names
Duncan L. Forest dba Summer House II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUNCAN LEE FOREST PH.D. (OWNER)
(512) 869-0212
Entity
Organization
Contact information
Practice address
208 MESA DR, GEORGETOWN, TX 78628-1507
(512) 869-0212
(512) 869-0212
Mailing address
208 MESA DR, GEORGETOWN, TX 78628-1507
(512) 869-0212
(512) 869-0212
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
118178
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
118544
TX
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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