| NPI | 1710643861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAY RAMIREZ Owner 409-893-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-09-18 |