| NPI | 1356996896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ENGELKE President 512-916-1632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |