| NPI | 1548696651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MICHELLE ELLIS CEO/Owner , Lcdc 832-644-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |