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Brandi Nicole Boyd
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in White Oak, Texas
NPI 1962737668

Brandi Nicole Boyd is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in White Oak, TX. Brandi Nicole Boyd practices in White Oak, TX. The NPI Number for Brandi Nicole Boyd is 1962737668 and holds a License No. 17376310 (Texas).

The current practice location address for Brandi Nicole Boyd is 1112 Acapulco Ln, White Oak, TX and can be reached out via phone at 903-237-9988.

Location: 1112 Acapulco Ln, White Oak, TX, 75693-3046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962737668
Provider Name
Brandi Nicole Boyd
Credential
Provider Entity Type
Organization
Address
1112 Acapulco Ln, White Oak, TX, 75693-3046
Phone Number
903-237-9988
Fax Number
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1112 Acapulco Ln
City
White Oak
State
Texas
Zip
75693-3046
Phone Number
903-237-9988
Fax Number
person
Provider Business Mailing Address Details
Address
1112 Acapulco Ln
City
White Oak
State
Texas
Zip
75693-3046
Phone Number
903-237-9988
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
17376310 (Texas)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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.
17376310 (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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