| NPI | 1295988186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TJWANA WILSON CEO/Program Director 281-859-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |