| NPI | 1134306921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY E MOORE Director 281-948-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |