| NPI | 1154166601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA SEALS Executive Director 832-282-2189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2025-04-03 |