| NPI | 1134947062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE OLWENY Program Manager 832-875-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |