Organization Name: | A.M.E.N. HCS |
NPI Number: | 1831442284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA J. CLEGG (PROGRAM MANAGER) |
Mailing Address: | 1101 Logan Ave Corpus Christi |
State: | TX US |
Postal Code: | 784043725 |
Phone Number: | 3614345107 |
Fax Number: | 3613343652 |
NPI Enumeration Date: | 10/23/2012 |
NPI Last Update Date: | 10/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 2500000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |