| NPI | 1285141127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY JESSIE Owner 832-229-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2022-06-02 |