| NPI | 1396948543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO VELASCO Administrator 281-568-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 45G970) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |