Provider Demographics
NPI:1831398585
Name:THE SPECTRUM SCHOOL
Entity type:Organization
Organization Name:THE SPECTRUM SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KYMBERLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-776-9081
Mailing Address - Street 1:12455 WESTPARK DR
Mailing Address - Street 2:SUITE G-4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-5528
Mailing Address - Country:US
Mailing Address - Phone:281-776-9081
Mailing Address - Fax:
Practice Address - Street 1:12455 WESTPARK DR
Practice Address - Street 2:SUITE G-4
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-5528
Practice Address - Country:US
Practice Address - Phone:281-776-9081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services