| NPI | 1528512498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FHYLLIS SHEIDUN Owner 832-330-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |