| NPI | 1396442554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL KRZAN Managing Member 512-800-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |