NPI | 1477148005 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN O BONNER C.E.O/Program Manager 832-614-5095 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-29 |