Castle Bloom Home & Community Services LLC

NPI #1497081541 in Denton, Texas

Provider Information

NPI Number
1497081541
Entity Type
Organization
Organization Name
Castle Bloom Home & Community Services LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 26, 2009
Last Updated
Oct 28, 2009

Practice Location

Address
1105 POST WOOD DR
City
Denton
State
Texas
ZIP Code
76210
Phone
(302) 437-5573

Authorized Official

Name
MS. NGOZI C ANEKPO
Title
DIRECTOR
Phone
(302) 437-5573

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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