Organization
WAYMAKER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY D. TOUSANT M.ED (REGIONAL VICE PRESIDENT)
(832) 891-6314
Entity
Organization
Contact information
Practice address
7506 MISTY LAKE LN, PEARLAND, TX 77581-7534
(832) 891-6314
(832) 201-7898
Mailing address
7506 MISTY LAKE LN, PEARLAND, TX 77581-7534
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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