| NPI | 1063260271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNICE LEVI Owner 832-566-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-13 |