Organization
DEVELOPMENTAL DISABILITIES MANAGEMENT SERVICES OF BEAUMONT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN III (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1924 THOUSAND OAKS DR, ORANGE, TX 77632-1215
(409) 832-4112
Mailing address
313 CONGRESS ST FL 5, BOSTON, MA 02210-1218
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
TX
Enumeration date
11/21/2014
Last updated
03/05/2023
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