| NPI | 1225576614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL D. DAVIS Owner 832-224-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 172A00000X Driver | |
| 405300000X Prevention Professional | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |