| NPI | 1033300868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO VELASCO Administrator 281-568-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 743701) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |