| NPI | 1275867830 |
|---|---|
| Doing Business As | MDR COMMUNITY LIVING |
| Entity Type | Organization |
| Authorized Contact | REGINALD LAMONTE LEWIS Program Adminstrator 832-455-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |