Individual
MRS. BRISHETTE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 ESTATE DR, HUTTO, TX 78634-5355
(151) 287-6604
Mailing address
1006 ESTATE DR, HUTTO, TX 78634-5355
(512) 876-6043
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
09/03/2019
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