| NPI | 1003432725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA M ROLDAN Owner 832-656-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |