Imagine Me 2 B

NPI #1558704379 in Waco, Texas

Provider Information

NPI Number: 1558704379
Entity Type: Organization
Organization Name: Imagine Me 2 B
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 11, 2013
Last Updated: Apr 11, 2013

Practice Location

Address: 301 MEADOW MOUNTAIN DR
City: Waco
State: Texas
ZIP Code: 76712-8165
Phone: (951) 454-0378

Authorized Official

Name: MS. SANDRA TIENNE CROMER
Title: MANAGER/OWNER
Phone: (951) 454-0378

Specialties & Taxonomy Codes

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

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