| NPI | 1457618795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLAN HENDERSON Owner/Program Manager 713-501-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |