| NPI | 1497527642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE DONGMO Program Manager 832-660-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |