| NPI | 1073172623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SAYRE ODELL Executive Director 281-717-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |