Individual
MR. CHRISTOPHER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
110 WAVERLY WAY, ATHENS, TX 75752-6353
(903) 286-1977
Mailing address
PO BOX 388, ATHENS, TX 75751-0388
(903) 286-1977
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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