| NPI | 1669987103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERSIE VINITA DENNIS Program Director 713-502-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |