Organization
ZACHARY'S HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD WAYNE ROBERTSON JR. LCCA (LICENSED CHILDCARE ADMINISTRATOR)
(979) 203-6470
Entity
Organization
Contact information
Practice address
3315 FM 523 RD, FREEPORT, TX 77541-6616
(346) 287-8938
Mailing address
3315 FM 523 RD, FREEPORT, TX 77541-6616
(346) 287-8938
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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