Tanita Shanta Sullivan
Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gender: Female
- Sole propriator: Yes
About Tanita Shanta Sullivan
She is located at 13985 Broken Arrow Dr, , in Willis, TX 77378. Appointment can be made via the phone number (936) 856-6136.
Tanita Shanta Sullivan - Address, Phone & Website
13985 Broken Arrow Dr, , Willis, TX 77378
(936) 856-6136
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X |
| No | Physical Disabilities Residential Treatment Facility | 320700000X |
| No | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
| No | Substance Abuse Rehabilitation Facility | 324500000X |
Licenses
| State | License Number |
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