| NPI | 1295088839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANDRIE FORD Program Manager 713-301-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |