| NPI | 1194303792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNET SHERICE SMITH Director 832-795-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311Z00000X Custodial Care Facility | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |