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Providian Total Health Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baytown, Texas
NPI 1740599240

Providian Total Health Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Richmond, TX. Providian Total Health Llc practices in Baytown, TX. The NPI Number for Providian Total Health Llc is 1740599240 and holds a License No. (Texas).

The current practice location address for Providian Total Health Llc is 618 Travis St, Baytown, TX and can be reached out via phone at 832-512-3234 and via fax at 832-615-0813.

Location: 618 Travis St, Baytown, TX, 77406-1263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740599240
Provider Name
Providian Total Health Llc
Credential
Provider Entity Type
Organization
Address
618 Travis St, Baytown, TX, 77406-1263
Phone Number
832-512-3234
Fax Number
832-615-0813
Provider Enumeration Date
09/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
618 Travis St
City
Baytown
State
Texas
Zip
77520-7568
Phone Number
832-512-3234
Fax Number
832-615-0813
person
Provider Business Mailing Address Details
Address
618 Travis St
City
Baytown
State
Texas
Zip
77520-7568
Phone Number
832-512-3234
Fax Number
832-615-0813
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.
()
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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