Organization
COMMUNITY GUIDED LIVING 'CGL'
Active
Organization
COMMUNITY GUIDED LIVING 'CGL'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAN JUANITA ROUNTREE (PRESIDENT)
(951) 229-6039
Entity
Organization
Contact information
Practice address
10779 SORA DR, WILLIS, TX 77378-2258
(951) 229-6039
Mailing address
10779 SORA DR, WILLIS, TX 77378-2258
(951) 229-6039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
TX
Enumeration date
06/24/2026
Last updated
06/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up