| NPI | 1134496532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GULLESE D SCOTT President 832-212-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 305S00000X Point of Service |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 302F00000X Exclusive Provider Organization (Licence: TX 0000) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2022-07-15 |