| NPI | 1205037066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA PEAKES-TAYLOR Program Director 281-993-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-11-30 |