| 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 | 2025-05-12 |