| NPI | 1366959272 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERRELL R GILLISPIE Director 409-499-8216  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 273Y00000X Rehabilitation Unit | 
| Additional Taxonomies | 251B00000X Case Management | 
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-01-02 | 
| Last Update Date | 2018-01-02 |