East Texas Community Services for the Developmentally Disabled, Inc.

NPI #1003951922 in Orange, Texas

Provider Information

NPI Number: 1003951922
Entity Type: Organization
Organization Name: East Texas Community Services for the Developmentally Disabled, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2204 NORTH 24TH ST
City: Orange
State: Texas
ZIP Code: 77630-3115
Phone: (409) 886-5950

Authorized Official

Name: MR. D MICHAEL JOHNSON
Title: PRESIDENT
Phone: (409) 385-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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