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Sherry Clark
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas
NPI 1346620259

Sherry Clark is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dallas, TX. Sherry Clark practices in Dallas, TX. The NPI Number for Sherry Clark is 1346620259 and holds a License No. 320900000 (Texas).

The current practice location address for Sherry Clark is 7030 Capella Park Ave, Dallas, TX and can be reached out via phone at 817-540-1363.

Location: 7030 Capella Park Ave, Dallas, TX, 75236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346620259
Provider Name
Sherry Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
7030 Capella Park Ave, Dallas, TX, 75236
Phone Number
817-540-1363
Fax Number
Provider Enumeration Date
06/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7030 Capella Park Ave
City
Dallas
State
Texas
Zip
75236-3003
Phone Number
817-540-1363
Fax Number
person
Provider Business Mailing Address Details
Address
7030 Capella Park Ave
City
Dallas
State
Texas
Zip
75236-3003
Phone Number
817-540-1363
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
320900000 (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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