Organization
INSTITUTE OF COGNTIVE DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA WATERS (BUSINESS MANAGER)
(325) 658-8631
Entity
Organization
Contact information
Practice address
79 GILLIS ST, SAN ANGELO, TX 76903-5819
(325) 658-8631
(325) 659-2070
Mailing address
PO BOX 5018, SAN ANGELO, TX 76902-5018
(325) 658-8631
(325) 659-2070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000765601
—
TX
05
—
1477309-01
—
TN
Enumeration date
02/08/2007
Last updated
09/11/2025
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