| Institute Of Cogntive Development, Inc. | |
|
79 Gillis St San Angelo TX 76903-5819 | |
| (325) 658-8631 | |
| (325) 659-2070 |
| Full Name | Institute Of Cogntive Development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 79 Gillis St, San Angelo, Texas |
| Authorized Official Name and Position | Teresa Waters (BUSINESS MANAGER) |
| Authorized Official Contact | 3256588631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Cogntive Development, Inc. Po Box 5018 San Angelo TX 76902-5018 Ph: (325) 658-8631 | Institute Of Cogntive Development, Inc. 79 Gillis St San Angelo TX 76903-5819 Ph: (325) 658-8631 |
| NPI Number | 1760522411 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/11/2025 |
| Certification Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760522411 | NPI | - | NPPES |
| 000765601 | Medicaid | TX | |
| 1477309-01 | Medicaid | TN |
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