| NPI | 1346031671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZENA GLOVER Program Director 832-283-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-06-11 |