| NPI | 1043557531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY FORD Director Of Administartion 832-889-9126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: TX 1470107) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-04 |