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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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