Prospect Mountain Therapeutic Riding Center

NPI #1306072780 in Scurry, Texas

Provider Information

NPI Number: 1306072780
Entity Type: Organization
Organization Name: Prospect Mountain Therapeutic Riding Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 30, 2009
Last Updated: May 30, 2009

Practice Location

Address: 7471 FM 3094
City: Scurry
State: Texas
ZIP Code: 75158-4915
Phone: (469) 595-2019

Authorized Official

Name: THERESA RAE LISENBY, INSTRUCTOR R.N.
Title: INSTRUCTOR, CEO
Phone: (469) 595-2019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community/Behavioral Health	251S00000X
Voluntary or Charitable	251V00000X
Early Intervention Provider Agency	252Y00000X
Student in an Organized Health Care Education/Training Program	390200000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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