| NPI | 1275829590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALERO MIRANDA HANS Program Manager 832-245-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |