| NPI | 1316244791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVUNIA BONNER Director 832-887-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-02-20 |
| Last Update Date | 2022-07-21 |