| NPI | 1528514973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA E WALDON-GORDON Owner 281-204-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |