| NPI | 1598124943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIKA NORCHELLE ROGERS Director 832-967-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |