NPI | 1033230255 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PAUL MADELEY Administrator 936-291-3391 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 256371) |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TX 256371) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-09-11 |