| NPI | 1326444548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BADDERS MOORE Owner 512-627-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |