Organization
RAYFIELD JEFFERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYFIELD JEFFERSON (OWNER)
(936) 653-4113
Entity
Organization
Contact information
Practice address
2330 FM 222 LOOP N, COLDSPRING, TX 77331-7332
(936) 653-4113
Mailing address
2330 FM 222 LOOP N, COLDSPRING, TX 77331-7332
(936) 653-4113
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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