| NPI | 1174083802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKQUA RENA SMITH CEO 832-508-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-02-29 |