| NPI | 1184979114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE M BANKS Administrator 832-230-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |