Janice M. Leonard

NPI #1689890592 in Longview, Texas

Provider Information

NPI Number: 1689890592
Entity Type: Organization
Organization Name: Janice M. Leonard
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 18, 2007
Last Updated: Jan 22, 2024

Practice Location

Address: 1413 W LOOP 281 STE 102
City: Longview
State: Texas
ZIP Code: 75604-2849
Phone: (903) 297-0929

Authorized Official

Name: JANICE WANDREY LEONARD
Title: CEO / PROGRAM MANAGER
Phone: (903) 297-0929

Specialties & Taxonomy Codes

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

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