Organization
EVERYDAY LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC LASHUNN PAYTON LCCA,CART,CYC-P (DIRECTOR OF ADMINISTRATION)
(979) 589-1885
Entity
Organization
Contact information
Practice address
6955 BROACH RD, BRYAN, TX 77808-8897
(979) 589-1885
(979) 589-1665
Mailing address
6955 BROACH RD, BRYAN, TX 77808-8897
(979) 589-1885
(979) 589-1665
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
812341
TX
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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