Ivy Reign Support Services
NPI #1710188396 in Waco, Texas
Provider Information
- NPI Number
- 1710188396
- Entity Type
- Organization
- Organization Name
- Ivy Reign Support Services
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- May 30, 2007
- Last Updated
- Jun 26, 2008
Practice Location
Authorized Official
- Name
- MR. TERRANCE TOLIVER, MASTER OF SCIENCE
- Title
- PROGRAM DIRECTOR
- Phone
- (254) 799-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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