| NPI | 1023377280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE EDWARD THOMPSON Executive Director 832-677-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |