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Alfredo Miguel Cancino
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brownsville, Texas
NPI 1104087154

Alfredo Miguel Cancino is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Brownsville, TX. Alfredo Miguel Cancino practices in Brownsville, TX. The NPI Number for Alfredo Miguel Cancino is 1104087154 and holds a License No. (Texas).

The current practice location address for Alfredo Miguel Cancino is 4806 Las Palomas St, Brownsville, TX and can be reached out via phone at 956-546-7303.

Location: 4806 Las Palomas St, Brownsville, TX, 78526-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104087154
Provider Name
Alfredo Miguel Cancino
Credential
Provider Entity Type
Individual
Gender
Male
Address
4806 Las Palomas St, Brownsville, TX, 78526-3847
Phone Number
956-546-7303
Fax Number
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4806 Las Palomas St
City
Brownsville
State
Texas
Zip
78526-3847
Phone Number
956-546-7303
Fax Number
person
Provider Business Mailing Address Details
Address
4806 Las Palomas St
City
Brownsville
State
Texas
Zip
78526-3847
Phone Number
956-546-7303
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
(Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Texas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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