Greenside 25 Incorporated
NPI #1902179518 in Flower Mound, Texas
Provider Information
- NPI Number
- 1902179518
- Entity Type
- Organization
- Organization Name
- Greenside 25 Incorporated
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 13, 2012
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 2428 KATINA DR
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028-7578
- Phone
- (214) 208-5920
Authorized Official
- Name
- KYLE HAWKINS
- Title
- PROGRAM MANAGER
- Phone
- (214) 208-5920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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