| NPI | 1326700550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA THOMAS Owner/Program Manager 281-751-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |