| Centex Childcare, Inc. | |
|
109 E Main St Lometa TX 76853-2104 | |
| (512) 752-3952 | |
| (512) 752-3883 |
| Full Name | Centex Childcare, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 109 E Main St, Lometa, Texas |
| Authorized Official Name and Position | Michael Vernon Williams (MC-ARMS) |
| Authorized Official Contact | 3256483131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centex Childcare, Inc. Po Box 487 Goldthwaite TX 76844-0487 Ph: (325) 648-3131 | Centex Childcare, Inc. 109 E Main St Lometa TX 76853-2104 Ph: (512) 752-3952 |
| NPI Number | 1306332176 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306332176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 15615 (Texas) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 827818 (Texas) | Primary |