| NPI | 1477275618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HOLLOWAY Administrator 832-289-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |