| NPI | 1518787381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL NICOLE LEBLANC Program Manager 713-244-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |