CHEVELL DIXON

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · LONGVIEW, TX

Individual Active NPI 1700377363

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	✓	—	TX
Developmentally Disabled Services Day Training Agency	251C00000X		—	TX

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.