| West Texas Child Development Center | |
|
2032 W Harris Ave San Angelo TX 76901-3806 | |
| (325) 320-3204 | |
| Not Available |
| Full Name | West Texas Child Development Center |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 2032 W Harris Ave, San Angelo, Texas |
| Authorized Official Name and Position | Grant Michael Ingram (OWENR) |
| Authorized Official Contact | 3253203204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Child Development Center 2032 W Harris Ave San Angelo TX 76901-3806 Ph: (325) 320-3204 | West Texas Child Development Center 2032 W Harris Ave San Angelo TX 76901-3806 Ph: (325) 320-3204 |
| NPI Number | 1730599382 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730599382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | 1-13-14897 (Texas) | Primary |
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