| NPI | 1720225576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS ITOHAN CHARLES Administration 832-890-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-08-12 |