Organization
CHERRY TREE RESIDENTIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA JEAN FALLER-GREENHOW (VICE PRESIDENT / PROGRAM ADM)
(512) 280-3665
Entity
Organization
Contact information
Practice address
2111 W SLAUGHTER LANE, AUSTIN, TX 78748
(512) 280-3665
(512) 280-6742
Mailing address
2111 W SLAUGHTER LANE, AUSTIN, TX 78748
(512) 280-3665
(512) 280-6742
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001008192
HCS ARLINGHTON
TX
Enumeration date
07/26/2006
Last updated
07/23/2008
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