NPI 1558704379

Imagine Me 2 B

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Waco, TX

Practice location

Address: 301 Meadow Mountain Dr, Waco, TX 76712-8165
Phone: (951) 454-0378

Authorised official

Name: Sandra Tienne Cromer
Title: Manager/Owner
Phone: (951) 454-0378

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1558704379
Entity type: Organization
NPI issued: 11 Apr 2013
Record last updated: 11 Apr 2013

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.