| NPI | 1558739912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT MARSHALL Owner 832-524-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |