| NPI | 1710643861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN RAMIREZ Clinic Director 409-242-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 171M00000X Case Manager/Care Coordinator | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2025-09-22 |