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Organization

A SPECIAL PLACE FOR LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL JOHNSON (OWNER)
(832) 365-6752
Entity
Organization

Contact information

Practice address
8413 BECKLEY ST, HOUSTON, TX 77088-5911
(832) 265-6752
(832) 476-3867
Mailing address
8413 BECKLEY ST, HOUSTON, TX 77088-5911
(832) 265-6752
(832) 476-3867

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
11/16/2009
Last updated
11/16/2009
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