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Individual

JOIA HAIRSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
TX
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
TX

Other

Enumeration date
12/04/2023
Last updated
12/04/2023
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