| NPI | 1073946752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS CHARLES Owner/Administrator 281-437-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 101677) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |