| NPI | 1083030357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKEIDA GARNER Owner 832-876-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |