| NPI | 1619677291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEFFERY Member 832-855-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171W00000X Contractor | |
| 172A00000X Driver | |
| 174200000X Meals | |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |