| NPI | 1265327597 |
|---|---|
| Doing Business As | THE ORIGIN HOME FOR CHILDREN LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LAMPLEY FLYE Founder 832-808-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-09-24 |