Provider Demographics
NPI:1760978548
Name:DDWD DEVELOMENTAL HCS SERVICES INC
Entity Type:Organization
Organization Name:DDWD DEVELOMENTAL HCS SERVICES INC
Other - Org Name:DDWD HCS SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-933-3956
Mailing Address - Street 1:14405 WALTERS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1345
Mailing Address - Country:US
Mailing Address - Phone:281-836-5788
Mailing Address - Fax:800-728-1294
Practice Address - Street 1:14405 WALTERS RD STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1345
Practice Address - Country:US
Practice Address - Phone:281-836-5788
Practice Address - Fax:800-728-1294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities