| NPI | 1699199844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER AVWORO Program Director 832-206-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2014-02-08 |