| NPI | 1043758626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MONIQUE GREEN Director 832-490-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-15 |