| NPI | 1558400333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ADAM CHAVEZ CEO/Owner 512-627-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007873) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007872) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2016-06-10 |