| NPI | 1144046772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAETINA STAHL CEO 936-337-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |