Organization
LIFE'S PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRIC CARTER (OWNER)
(201) 220-6263
Entity
Organization
Contact information
Practice address
1211 LARK LN, RICHMOND, TX 77469-7803
(201) 406-6991
Mailing address
24301 BRAZOS TOWN XING STE 500-167, ROSENBERG, TX 77471-6286
(201) 220-6263
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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