| NPI | 1124163035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELLE EDWARDS CEO 512-338-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007362) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |