| 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 |