NPI | 1326393810 |
---|---|
Entity Type | Organization |
Authorized Contact | BART C CLEMENT CEO 832-744-5111 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 014902) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: TX 014902) |
Enumeration Date | 2012-07-20 |
Last Update Date | 2012-07-20 |