| NPI | 1356780084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANTAYA ANETTA TAYLOR Owner 512-552-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-06-16 |