| NPI | 1265746135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNTA LA'FAYE BONNER Manager /Lvn 713-775-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 196755) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |