Chevell Dixon

NPI #1700377363 in Longview, Texas

Provider Information

NPI Number: 1700377363
Entity Type: Individual
Name: Chevell Dixon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 19, 2018
Last Updated: Jul 26, 2024

Practice Location

Address: 168 LONESOME PINE RD
City: Longview
State: Texas
ZIP Code: 75605-7300
Phone: (903) 746-9033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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