| NPI | 1013349109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAUN D WILLIS Managing Member 512-815-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |