| NPI | 1699718528 |
|---|---|
| Doing Business As | WILLOW RIVER FARMS - #12 |
| Entity Type | Organization |
| Authorized Contact | DAMIEN HARRIS Vice President Of Programs 713-525-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68285) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 133329) |
| 261Q00000X Clinic/Center (Licence: TX L7507) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-09-18 |