| NPI | 1376124362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE MORELAND Program Manager 281-706-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |