Organization
GOLDEN TRIANGLE LIVING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BENNETT (EXECUTIVE DIRECTOR)
(409) 791-4398
Entity
Organization
Contact information
Practice address
2750 S 4TH ST, BEAUMONT, TX 77701-7912
(409) 832-4112
Mailing address
2750 S 4TH ST, BEAUMONT, TX 77701-7912
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
06/11/2007
Last updated
07/21/2022
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