Christian Life Residential Services

NPI #1578816799 in Malakoff, Texas

Provider Information

NPI Number: 1578816799
Entity Type: Organization
Organization Name: Christian Life Residential Services
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 25, 2012
Last Updated: Oct 25, 2012

Practice Location

Address: 226 E ROYALL BLVD
City: Malakoff
State: Texas
ZIP Code: 75148-9110
Phone: (903) 489-9977

Authorized Official

Name: MRS. MARTHA GAIL MILLER
Title: PROGRAM DIRECTOR
Phone: (903) 489-9977

Specialties & Taxonomy Codes

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

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