| NPI | 1194575100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA JANEE LEWIS Executive Director 832-630-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |