NPI | 1588864227 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY HANCHETT WALLACE President/Program Director 832-453-6385 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2007-07-20 |
Last Update Date | 2007-07-20 |