Mjm Innovative Living of North Texas,llc

NPI #1811055791 in Justin, Texas

Provider Information

NPI Number: 1811055791
Entity Type: Organization
Organization Name: Mjm Innovative Living of North Texas,llc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1833 SHASTA VIEW DR
City: Justin
State: Texas
ZIP Code: 76247-5712
Phone: (469) 252-0116

Authorized Official

Name: EDDIE L SLAUGHTER
Title: ADMINISTATOR
Phone: (469) 252-0116

Specialties & Taxonomy Codes

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

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