Organization
CLAUDY'S HOUSE FOR DEVELOPMENTALLY CHALLENGED ADULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA WILKINSON BRODEN MA, CCC-SLP (SPEECH PATHOLOGIST)
(214) 392-5776
Entity
Organization
Contact information
Practice address
1321 ROWAN AVE, DALLAS, TX 75223-3033
(214) 826-0018
Mailing address
1321 ROWAN AVE, DALLAS, TX 75223-3033
(214) 826-0018
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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