Mosaic

NPI #1720126725 in Bryan, Texas

Provider Information

NPI Number: 1720126725
Entity Type: Organization
Organization Name: Mosaic
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 302 POST OFFICE ST
City: Bryan
State: Texas
ZIP Code: 77801-2141
Phone: (979) 823-7622

Authorized Official

Name: DEAN WILSON
Title: VP ACCOUNTING
Phone: (402) 896-3884

Specialties & Taxonomy Codes

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

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