Most Relevant Information
Provider Data
| NPI Number: | 1003657768 |
| Provider Name: | KIMBERLY WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 320900000X |
| Specialty: | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2024 |
| Last Updated: | 06/05/2024 |
Provider Practice Location
3239 GUADALOUPE
GRAND PRAIRIE
TX
750546708
Practice Location Phone/Fax
| Phone: | 6825217428 |
| Fax: |
Provider Mailing Location
3239 GUADALOUPE
GRAND PRAIRIE
TX
750546708
Provider Mailing Phone/Fax
| Phone: | 6825217428 |
| Fax: |