| NPI | 1003767724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA CANDELARIO-CLANCY Member 832-449-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-07 |
| Last Update Date | 2026-02-07 |