| NPI | 1124834668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD WAYNE ROBERTSON Licensed Childcare Administrator 979-203-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |