NPI | 1376874552 |
---|---|
Entity Type | Organization |
Authorized Contact | TABATHA SMITH CEO 832-598-2757 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2010-01-27 |
Last Update Date | 2010-01-27 |