NPI 1043374267

Lucius Hodge Alexander Jr

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

Practice location

Address: 16203 Braesgate Dr, Austin, TX 78717-4850
Phone: (512) 382-9798
Fax: (512) 382-9798

Authorised official

Name: Lucius Hodge Alexander
Title: Ceo President
Phone: (512) 382-9798

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Texas →

Registry record

NPI: 1043374267
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 22 Aug 2020

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.