| NPI | 1043248651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE R BAKER President 832-647-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA 508-02-029) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |