| NPI | 1225979693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNTE LAKES Owner 832-399-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |