Organization
WMB LITTLE CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH SITALA MWAMBA (OWNER)
(682) 221-2285
Entity
Organization
Contact information
Practice address
19600 N HEATHERWILDE BLVD, #815, PFLUGERVILLE, TX 78660-7516
(682) 221-2285
Mailing address
19600 N HEATHERWILDE BLVD, #815, PFLUGERVILLE, TX 78660-7516
(682) 221-2285
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
TX
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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