Individual
CEDRIC ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2306 COPPER FIELDS DR, ROSHARON, TX 77583-3268
(832) 298-5035
Mailing address
2306 COPPER FIELDS DR, ROSHARON, TX 77583-3268
(832) 298-5035
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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