| NPI | 1669842159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH MINOR Staff Development Coordinator 361-657-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |