| NPI | 1295252625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA GATES C.E.O. 832-267-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |