| NPI | 1720160286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSI NWADIEI Program Director 713-725-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 001007815) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-10-15 |