| NPI | 1558867747 |
|---|---|
| Doing Business As | MAISON DE SPIRITUS, INC |
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT ALCORN Medical Director 832-991-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |