Organization
GUARDIAN OF SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY TAYLOR (CEO/ PROGRAM MANAGER)
(832) 893-4200
Entity
Organization
Contact information
Practice address
22155 WILDWOOD PARK RD, 1223, RICHMOND, TX 77469
(832) 893-4200
Mailing address
22155 WILDWOOD PARK RD, 1223, RICHMOND, TX 77469
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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