| NPI | 1366229114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOTHAM MUGABE Program Manager 512-400-5238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 251B00000X Case Management | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |