Provider Demographics
NPI:1992909279
Name:TEXAS TEACHING, LEARNING, CARING, INC.
Entity type:Organization
Organization Name:TEXAS TEACHING, LEARNING, CARING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-729-9007
Mailing Address - Street 1:PO BOX 31516
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77231-1516
Mailing Address - Country:US
Mailing Address - Phone:713-729-9001
Mailing Address - Fax:713-729-9001
Practice Address - Street 1:5410 N BRAESWOOD BLVD APT 904
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3212
Practice Address - Country:US
Practice Address - Phone:713-729-9001
Practice Address - Fax:713-729-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1010346OtherDADS