Whalio Doctors

NPI 1043233208

Cherry Tree Residential Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Austin, TX

Practice location

Address
2111 W Slaughter Lane, Austin, TX 78748
Phone
(512) 280-3665
Fax
(512) 280-6742

Authorised official

Name
Teresa Jean Faller-Greenhow
Title
Vice President / Program Adm
Phone
(512) 280-3665

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 001007345 (TX)

Registry record

NPI
1043233208
Entity type
Organization
NPI issued
26 Jul 2006
Record last updated
23 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.