NPI | 1710296082 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN O COLEMAN Owner/Operator 281-330-2133 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |