Provider Demographics
NPI:1013349109
Name:THE EXEMPLAR ORGANIZATION, LLC
Entity type:Organization
Organization Name:THE EXEMPLAR ORGANIZATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAUN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-815-8515
Mailing Address - Street 1:11901 HOBBY HORSE CT
Mailing Address - Street 2:#1911
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2932
Mailing Address - Country:US
Mailing Address - Phone:512-815-8515
Mailing Address - Fax:
Practice Address - Street 1:11901 HOBBY HORSE CT
Practice Address - Street 2:#1911
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2932
Practice Address - Country:US
Practice Address - Phone:512-815-8515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities