Healton Residential Living

NPI #1447481221 in Bastrop, Texas

Provider Information

NPI Number: 1447481221
Entity Type: Organization
Organization Name: Healton Residential Living
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTON RESIDENTIAL LIVING
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 28, 2009
Last Updated: Jul 28, 2009

Practice Location

Address: 1900 WALNUT ST
Address 2: 402
City: Bastrop
State: Texas
ZIP Code: 78602-3544
Phone: (512) 507-7687

Authorized Official

Name: MS. JOSHLYN NICOLE WILLIAMS
Title: OWNER/PROGRAM MANAGER
Phone: (512) 577-8504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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