Organization
IMAGINE ME 2 B
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA TIENNE CROMER (MANAGER/OWNER)
(951) 454-0378
Entity
Organization
Contact information
Practice address
301 MEADOW MOUNTAIN DR, WACO, TX 76712-8165
(951) 454-0378
Mailing address
301 MEADOW MOUNTAIN DR, WACO, TX 76712-8165
(951) 454-0378
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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