Organization
BREAKTHROUGH HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA MARIE KINCHION (CEO/FOUNDER)
(316) 727-9103
Entity
Organization
Contact information
Practice address
1200 S 10TH ST UNIT 703, PFLUGERVILLE, TX 78660-2636
(316) 727-9103
Mailing address
1200 S 10TH ST UNIT 703, PFLUGERVILLE, TX 78660-2636
(316) 727-9103
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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