Organization
TRANSFORMATION WACO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PEDROTTI (EXECUTIVE DIRECTOR STUDENT ADVOCACY)
(254) 754-9169
Entity
Organization
Contact information
Practice address
3005 EDNA AVE, WACO, TX 76708-1849
(254) 754-9169
Mailing address
3005 EDNA AVE, WACO, TX 76708-1849
(254) 754-9169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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