| NPI | 1376832113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BERNARD COOK Program Director 281-760-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |