| NPI | 1528125366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN Administor 281-568-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 32090000x) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |