| NPI | 1568703007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN J FORD Region 6 Director 713-412-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |