| NPI | 1104371921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE MCNEELY Business Manager 409-832-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |