| NPI | 1316158074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HENSON Owner Administrator 512-789-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-02-08 |