| NPI | 1376842021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY RUSSO Owner/Program Manager 832-286-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |