| NPI | 1720451271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA HUNT Program Manager 832-858-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |