| NPI | 1184619553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA K. WEATHERS Executive Director 713-365-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 113536) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |