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 |