| NPI | 1699190686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORRIS Owner 512-784-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2024-05-20 |