MR. Michael Eldridge Bonincontri

NPI #1447318399 in Killeen, Texas

Provider Information

NPI Number: 1447318399
Entity Type: Individual
Name: MR. Michael Eldridge Bonincontri
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1214 ALTA VISTA DR
City: Killeen
State: Texas
ZIP Code: 76549-1129
Phone: (254) 458-9509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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