| NPI | 1174886030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVERS R GLOVER Exective Director 832-798-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |