Family Tree

NPI #1144422932 in Bryan, Texas

Provider Information

NPI Number: 1144422932
Entity Type: Organization
Organization Name: Family Tree
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jun 4, 2007
Last Updated: Mar 26, 2024

Practice Location

Address: 408 N WASHINGTON AVE
City: Bryan
State: Texas
ZIP Code: 77803-5310
Phone: (979) 822-6467

Authorized Official

Name: BILL KELLY
Title: EXECUTIVE DIRECTOR
Phone: (979) 822-6467

Specialties & Taxonomy Codes

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

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