| Organization Name: | ST. MARY'S II CENTER FOR EXCEPTIONAL CHILDREN,LLC |
| NPI Number: | 1205231198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND C POWER (MANAGING MEMBER) |
| Mailing Address: | 2300 Highland Village Rd Building 8, Suite 810 Highland Village |
| State: | TX US |
| Postal Code: | 750777148 |
| Phone Number: | 9729661080 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |