Organization
BEHAVIOR AND LANGUAGE TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ELAINE BUTLER RN (OWNER)
(903) 520-6243
Entity
Organization
Contact information
Practice address
14623 FM 849, LINDALE, TX 75771-2440
(903) 520-6243
(903) 496-0298
Mailing address
PO BOX 1168, LINDALE, TX 75771-1168
(903) 520-6243
(903) 496-0298
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
629358
TX
251S00000X
Community/Behavioral Health Agency
629358
TX
Other
Enumeration date
10/27/2011
Last updated
07/15/2024
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