Tanita Shanta Sullivan
NPI #1659671147 in Willis, Texas
Provider Information
- NPI Number
- 1659671147
- Entity Type
- Individual
- Name
- Tanita Shanta Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 29, 2010
- Last Updated
- Oct 29, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Physical Disabilities |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Substance Abuse Rehabilitation Facility |
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