| 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, Mental Retardation 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 | 2020-08-22 |