| NPI | 1669614194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGERLA MARIE HATCHER-BRADEN Owner 832-887-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-05-27 |