Individual
GEMELINE ATLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 RIVER ROCK DR, MISSOURI CITY, TX 77489-4181
(281) 438-1206
Mailing address
1502 AUTUMN DAWN CT, MISSOURI CITY, TX 77489-5244
(281) 438-1206
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/26/2010
Last updated
03/31/2011
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