| NPI | 1467204859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMUTONI ALICE CEO 512-619-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |