| NPI | 1093249294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DUNCAN Program Director 832-744-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251S00000X |
| 253J00000X Foster Care Agency | |
| 311Z00000X Custodial Care Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |