| NPI | 1306391222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL OREARDON Owner 832-721-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |