| NPI | 1104306109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M RAY President 979-618-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-08-19 |
| Last Update Date | 2018-08-19 |