| NPI | 1225757545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOJUNA NICOLE ELDRIDGE Director 832-420-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |