Eddie Johnson

NPI #1134630957 in Lone Star, Texas

Provider Information

NPI Number
1134630957
Entity Type
Individual
Name
Eddie Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 19, 2017
Last Updated
Oct 19, 2017

Practice Location

Address
338 BOND ST
State
Texas
ZIP Code
75668-0230
Phone
(903) 646-3171

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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