Organization
GRICELDA LAMAS
Active
Other names
gricelda lamas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRICELDA LAMAS NONE (OWNER)
(972) 412-4292
Entity
Organization
Contact information
Practice address
3105 BOUVIER ST, ROWLETT, TX 75088-5523
(972) 412-4292
(972) 412-4292
Mailing address
3105 BOUVIER ST, ROWLETT, TX 75088-5523
(972) 412-4292
(972) 412-4292
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NONE
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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