| NPI | 1093876864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GRANT Director 281-610-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 6134) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |