| NPI | 1689773509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ROBERSON Executive Director 936-521-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-06-27 |