NPI | 1366005712 |
---|---|
Doing Business As | A FRESH START RTC |
Entity Type | Organization |
Authorized Contact | REGINALD MINNIEWEATHER Asst. Program Director 713-631-0981 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-04-20 |
Last Update Date | 2019-04-20 |