Organization
AMISTAD CHILDRENS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH MINOR (STAFF DEVELOPMENTCOORDINATOR)
(361) 657-0249
Entity
Organization
Contact information
Practice address
9241 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418-5503
(361) 657-0249
(361) 657-0250
Mailing address
9241 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78418-5503
(361) 657-0249
(361) 657-0250
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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