| NPI | 1083965016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES ANN MCINTIRE Executive Director 281-802-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |