Organization
EXPANDING BEAUTIFUL MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D0RA E VILLEGAS (CEO)
(832) 506-8121
Entity
Organization
Contact information
Practice address
9723 HOMESTEAD RD, HOUSTON, TX 77016-4403
(832) 506-8121
(180) 091-8697
Mailing address
9723 HOMESTEAD RD, HOUSTON, TX 77016-4403
(832) 506-8121
(180) 091-8697
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/22/2016
Last updated
04/28/2016
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