| NPI | 1427557123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE KINKADE Managing Member 713-875-7435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |