| NPI | 1578897153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRYETTA LEWIS Owner 281-498-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |